Individual
PAULA REGINA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
809 TRADE WIND RD, MACON, GA 31206-3784
(478) 972-9024
Mailing address
809 TRADE WIND RD, MACON, GA 31206-3784
(478) 972-9024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW004282
CSW LICENSE
GA
Enumeration date
04/22/2010
Last updated
07/08/2020
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