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Individual

MS. MARQUITA ANN FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 646-5500
Mailing address
4213 LONG KEY LN, APT 1617, WINTER PARK, FL 32792-6977
(910) 835-7675

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/09/2017
Last updated
02/09/2017
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