Individual
DIANE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 323-0348
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3416
NM
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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