Individual
FERNANDO FAJARDO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 347-2999
Mailing address
PO BOX 261256, TAMPA, FL 33685-1256
(813) 267-1399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8477
FL
Other
Enumeration date
01/02/2007
Last updated
04/19/2011
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