Individual
MR. JOSEPH ANTHONY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2626 E 71ST ST, INDIANAPOLIS, IN 46220-1314
(317) 701-3502
Mailing address
2626 E 71ST ST, INDIANAPOLIS, IN 46220-1314
(317) 701-3502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005750A
IN
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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