Individual
MRS. PEGGY G FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA COUNSELING
Contact information
Practice address
1620 SHERWOOD DR, CONWAY, SC 29526-3046
(843) 488-6274
Mailing address
PO BOX 332, EVERGREEN, NC 28438-0332
(910) 648-2416
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3612
NC
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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