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Individual

TARA ANN FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSCSW

Contact information

Practice address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
(913) 367-0240
Mailing address
205 PAGELAND DR, YORKTOWN, VA 23693-3021
(785) 210-7707

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11164
KS
1041C0700X
Clinical Social Worker
Primary
4916
KS

Other

Enumeration date
04/26/2016
Last updated
03/13/2019
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