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Individual

ELOISA REBECCA FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
9845 SW 212TH ST, CUTLER BAY, FL 33189-3104
(305) 772-0458
Mailing address
9845 SW 212TH ST, CUTLER BAY, FL 33189-3104
(305) 772-0458

Taxonomy

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

Other

Enumeration date
12/04/2012
Last updated
12/04/2012
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