Individual
FERNANDO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
155 CHESTNUT ST, NUTLEY, NJ 07110-2311
(973) 667-1884
Mailing address
19 READ ST APT 1, NEWARK, NJ 07105-3782
(201) 305-3791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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