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Individual

SANDRA L FIELDS NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW CSW

Contact information

Practice address
535 S BURDICK ST, SUITE 254, KALAMAZOO, MS 49007
(269) 381-5213
(269) 381-4375
Mailing address
535 S BURDICK ST, SUITE 254, KALAMAZOO, MS 49007
(269) 381-5213
(269) 381-4375

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801059501
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0890743
BCBS
MI
01
126282
VALUE OPTIONS
MI
Enumeration date
04/04/2007
Last updated
07/08/2007
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