Individual
MS. BRENDA LATRICE FEARNOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7002
Mailing address
331 BEACH 30TH ST, FAR ROCKAWAY, NY 11691-2010
(332) 214-1937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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