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NPI Code Detail

MEDICARE: MS. RASHEEDOL K FIELDS

MEDICARE: MS. RASHEEDOL K FIELDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1376137703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RASHEEDOL K FIELDS
Provider Business Mailing Address
First Line : 3720 ALUMNI AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-5914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3720 ALUMNI AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-5914
Country : US
Telephone Number : 901-239-6571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2021
Last Update Date : 02/25/2021

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Directions to “ MS. RASHEEDOL K FIELDS ” Practice Location

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