Individual
JUSTINIANO MANUEL FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
895 BLUE HILL AVE, DORCHESTER, MA 02124-2902
(617) 506-8188
(617) 506-5039
Mailing address
89 DRAPER ST APT 2, DORCHESTER, MA 02122-1723
(617) 820-3093
(617) 506-5039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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