Tamara Fields, Lcsw | |
1818 Ridge Road Unit 104 Homewood IL 60430-1763 | |
(708) 275-0937 | |
(815) 521-1889 |
Full Name | Tamara Fields, Lcsw |
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Speciality | Social Worker - Clinical |
Location | 1818 Ridge Road, Homewood, Illinois |
Authorized Official Name and Position | Tamara Fields (OWNER) |
Authorized Official Contact | 7082750937 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tamara Fields, Lcsw 4304a E Central Texas Expy Ste A Killeen TX 76543-7308 Ph: (708) 275-0937 | Tamara Fields, Lcsw 1818 Ridge Road Unit 104 Homewood IL 60430-1763 Ph: (708) 275-0937 |
NPI Number | 1114366531 |
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Provider Enumeration Date | 06/19/2013 |
Last Update Date | 11/11/2022 |
Certification Date | 11/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114366531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.014385 (Illinois) | Primary |
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