Individual
BRIA FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Mailing address
43 OLIVE ST, MILFORD, CT 06460-7456
(203) 671-1792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5321
CT
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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