Individual
AZARIAH FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 DOUGLAS DR N STE 203, GOLDEN VALLEY, MN 55422-4358
(910) 859-3851
Mailing address
729 NIXON ST, WILMINGTON, NC 28401-2961
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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