Individual
MRS. SHANNON BATES FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1112 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-5775
(225) 644-2846
Mailing address
39051 RENE AVE, PRAIRIEVILLE, LA 70769-4655
(225) 313-3094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6449
LA
Other
Enumeration date
08/30/2006
Last updated
11/20/2008
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