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Individual

SUSAN D FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
329 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6062
(423) 439-7280
(423) 439-7314
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7280
(423) 439-7314

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW3396
TN
1041C0700X
Clinical Social Worker
Primary
LSW3396
TN

Other

Enumeration date
08/24/2005
Last updated
02/13/2019
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