Individual
ALEXA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W MCKINLEY AVE STE 300, MISHAWAKA, IN 46545-5651
(269) 262-1815
Mailing address
20 N 2ND ST STE 103, NILES, MI 49120-2259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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