Individual
JORGE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
380 MATHER ST APT 2111, HAMDEN, CT 06514-3155
(917) 940-5147
Mailing address
380 MATHER ST APT 2111, HAMDEN, CT 06514-3155
(917) 940-5147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8471
CT
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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