Individual
MISS GIDGET RENEE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
7350 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3084
(571) 248-0626
Mailing address
7350 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3084
(571) 248-0626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008260
VA
Other
Enumeration date
05/16/2011
Last updated
07/05/2013
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