Individual
MARIA VICTORIA TAGAL FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 DESHLER ST SW, FORT MCPHERSON, GA 30330-1040
(770) 968-6340
(678) 422-9346
Mailing address
32576 VIA DESTELLO, TEMECULA, CA 92592-3964
(951) 699-6332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080993
MI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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