CHARLES FIELDS

BAXTER, MN
NPI1316186877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  0231)
Enumeration Date2009-02-06
Last Update Date2009-02-06
Business Address
-- CHARLES FIELDS MA, LP
13021 EVERGREEN DR
BAXTER, MN 56425-7439
Phone number: 218-829-9307
Mailing Address
-- CHARLES FIELDS MA, LP
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: