Individual
CHARLENE MARIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(978) 744-7905
Mailing address
110 BOSTON STREET SALEM, SALEM, MA 01902
(978) 744-7905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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