Individual
MS. VICTORIA ANN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
44658 BAYVIEW AVE, #10105, CLINTON TOWNSHIP, MI 48038-7024
(586) 907-0069
(586) 948-0213
Mailing address
44658 BAYVIEW AVE, #10105, CLINTON TOWNSHIP, MI 48038-7024
(586) 907-0069
(586) 948-0213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801071796
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801071796
MI
Other
Enumeration date
02/27/2007
Last updated
11/24/2009
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