Individual
DEJA M FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10419 CALUMET AVE, MUNSTER, IN 46321-4059
(219) 491-1759
Mailing address
6263 WAITE ST, MERRILLVILLE, IN 46410-2851
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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