Individual
DAVID WAYNE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CAP
Contact information
Practice address
15681 N US HIGHWAY 301, CITRA, FL 32113-3154
(352) 595-5000
Mailing address
501 SW 75TH ST APT E8, GAINESVILLE, FL 32607-1702
(352) 256-3411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 9871
FL
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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