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Individual

ALISA FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
18261 181ST CIR S, BOCA RATON, FL 33498-1636
(954) 683-5138
Mailing address
18261 181ST CIR S, BOCA RATON, FL 33498-1636
(954) 683-5138

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 9755
FL

Other

Enumeration date
06/29/2010
Last updated
12/18/2016
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