Individual
WILDA M FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
BRAU 46B ST., SUITE 1, CABO ROJO, PR 00623-0684
(787) 613-5719
Mailing address
PO BOX 1311, BOQUERON, PR 00622-1311
(787) 851-6016
(787) 851-6016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6749
PR
Other
Enumeration date
11/03/2006
Last updated
09/19/2008
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