Individual
STEPHANIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 ALFRED ST, WOBURN, MA 01801-1972
(781) 646-0500
Mailing address
106 BENEDICT RD, MONROE, CT 06468-1200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10400
MA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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