Ivan Fields

NPI #1255880654 in Riverdale, Georgia

Provider Information

NPI Number
1255880654
Entity Type
Individual
Name
Ivan Fields
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Sep 26, 2016
Last Updated
Sep 26, 2016

Practice Location

Address
7109 GREYSTONE DR
State
Georgia
ZIP Code
30296-2256
Phone
(202) 427-2264

Specialties & Taxonomy Codes

Specialty
Counselor

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