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Individual

MR. DAVID RALPH FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LAC

Contact information

Practice address
500 WEST BROADWAY, SAINT PATRICK HOSPITAL & HEALTH SCIENCES CENTER, MISSOULA, MT 59802-4008
(406) 327-3200
(406) 327-3500
Mailing address
PO BOX 4587, SAINT PATRICK HOSPITAL & HEALTH SCIENCES CENTER, MISSOULA, MT 59802-4587
(406) 327-3200
(406) 327-3500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1037
MT

Other

Enumeration date
06/17/2008
Last updated
06/17/2008
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