Individual
MR. ANTHONY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6390 E BROADWAY BLVD, TUCSON, AZ 85710-3517
(520) 284-7949
Mailing address
6390 E BROADWAY BLVD, TUCSON, AZ 85710-3517
(520) 284-7949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926446
—
AZ
Enumeration date
11/16/2006
Last updated
07/25/2024
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