Provider Information for 1013122589
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Mrs. ROSE M. FERNANDEZ LCSW
Sex: Female
NPI: 1013122589
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013122589 | ||||||||
| Enumeration Date | 2007-05-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15423 SW 115TH ST MIAMI, FL 33196-6307 United States Phone: 305-323-7113 | Fax:305-386-5772 | ||||||||
| Primary Practice Address | 15423 SW 115TH ST MIAMI, FL 33196-6307 United States Phone: 305-323-7113 | Fax:305-386-5772 | ||||||||
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