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Individual

MARYUM FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2050 VOORHEES TOWN CTR, VOORHEES, NJ 08043-1910
(856) 346-0005
Mailing address
1551 E HEWSON ST, PHILADELPHIA, PA 19125-2807
(484) 919-9619

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005238
106S00000X
Behavior Technician
RBT-20-145512

Other

Enumeration date
06/16/2021
Last updated
01/05/2023
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