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1831616465
JAY KELVIN FIELDS
COLUMBIA, SC
NPI
1831616465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
JAY KELVIN FIELDS
3809 ROSEWOOD DR
COLUMBIA, SC 29205-3533
Phone number: 803-786-1844
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Mailing Address
JAY KELVIN FIELDS
33 OAK LAKE CT
BLYTHEWOOD, SC 29016-7895
Phone number:
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