Individual
MR. WILLIE LEON FIELDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
507 NE 61ST ST, OKLAHOMA CITY, OK 73105-1419
(918) 899-8441
Mailing address
507 NE 61ST ST, OKLAHOMA CITY, OK 73105-1419
(918) 899-8441
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104100000X
KS
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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