Individual
ADIA SHANIQUA FIELDS-UDOFIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 ROCKBRIDGE RD STE D, STONE MOUNTAIN, GA 30083-7312
(678) 689-8481
Mailing address
PO BOX 674122, MARIETTA, GA 30006-0069
(678) 689-8481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014456
GA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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