Individual
KAMARA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 COVENTRY LANE, GLEN MILLS, PA 19342
(610) 800-1168
Mailing address
1507 COVENTRY LN, GLEN MILLS, PA 19342-9429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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