Individual
ALEX J FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 443-2896
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 443-2896
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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