Individual
CHANTE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117-66 MARSDEN STREET, JAMAICA, NY 11434
(347) 379-0406
Mailing address
8319 141ST ST APT 701, JAMAICA, NY 11435-1622
(347) 379-0406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P113799
NY
Other
Enumeration date
09/01/2016
Last updated
01/21/2022
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