Individual
IRAIS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
12001 SW 128TH CT STE 101, MIAMI, FL 33186-4665
(786) 539-8105
Mailing address
1074 SE 24TH AVE, HOMESTEAD, FL 33035-2140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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