Organization
FVR PSYCH INTL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO VAZQUEZ LCSW (OWNER)
(862) 372-2737
Entity
Organization
Contact information
Practice address
78 FILLMORE ST, NEWARK, NJ 07105-3682
(862) 372-2737
Mailing address
78 FILLMORE ST, NEWARK, NJ 07105-3682
(862) 372-2737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/10/2024
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