Russell Fields

NPI #1134999600 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1134999600
Entity Type: Individual
Name: Russell Fields
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 5, 2024
Last Updated: Jan 5, 2024

Practice Location

Address: 1500 N WESTWOOD BLVD
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-3318
Phone: (573) 300-0138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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