Provider Information for 1790966182
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KARINA FERNANDEZ LCSW
Sex: Female
NPI: 1790966182
Last Updated: 2023-05-19
Certification Date: 2023-05-19
Certification Date: 2023-05-19
Details
| Name | Value | ||||||||||||
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| NPI | 1790966182 | ||||||||||||
| Enumeration Date | 2007-11-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 107 SUNNY VIEW CT LA VERGNE, TN 37086-3948 United States Phone: 615-549-7905 | Fax: | ||||||||||||
| Primary Practice Address | 107 SUNNY VIEW CT LA VERGNE, TN 37086-3948 United States Phone: 615-549-7905 | Fax: | ||||||||||||
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