Individual
ASHLEY M FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 PETTIT DR, DIX HILLS, NY 11746-5923
(631) 807-5689
Mailing address
18 PETTIT DR, DIX HILLS, NY 11746-5923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
076866-1
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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