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Organization
RUTH S. FIELDER
Active
Organization
RUTH S. FIELDER
Active
Other names
Organizational & Individual Consultation (OIC)
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH S FIELDER LCSW (OWNER)
(540) 977-5272
Entity
Organization
Contact information
Practice address
4656 BRAMBLETON AVE, ROANOKE, VA 24018-3437
(540) 772-8043
(540) 772-8242
Mailing address
3619 BLUE RIDGE BLVD, BLUE RIDGE, VA 24064-1976
(540) 977-5272
(540) 977-5273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004021
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010190169
—
VA
01
—
181806
ANTHEM
VA
01
—
812168000
MAGELLAN
VA
Enumeration date
03/31/2008
Last updated
07/16/2008
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