Antonio Charles Fidler-Woodard
Antonio Charles Fidler-Woodard is a Clinical Social Worker in Lakewood, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
4067 Hardwick St # 363Lakewood, CA 90712-2350
Phone: (323) 849-0220
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 131056 (CA) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 107950 (CA) |
Record details
| NPI number | 1558083725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | September 2, 2026 |
| Certification date | September 2, 2026 |
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