Individual
MR. THOMAS BRANDON FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
220 W GAY ST, WEST CHESTER, PA 19380-2917
(610) 764-8655
Mailing address
743 BEECH AVE, GLENOLDEN, PA 19036-1103
(703) 674-8625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127782
PA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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