Individual
SHARDAY A FIELDS
Active
Individual
SHARDAY A FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MSW007172
GA
104100000X
Social Worker
LMSW
GA
1041C0700X
Clinical Social Worker
Primary
CSW007771
GA
Other
Enumeration date
03/09/2020
Last updated
10/13/2021
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