Individual
JOHN FERNANDES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 864-5185
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 864-5185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
CT
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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