Individual
CANDACE NICOLE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MEDPARK DR, SOMERSET, KY 42503-2816
(606) 676-0786
Mailing address
300 MEDPARK DR, SOMERSET, KY 42503-2816
(606) 676-0786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3668
KY
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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