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1073195772
NICHOLAS FERNANDES
FAIRFIELD, CT
NPI
1073195772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 011055)
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
NICHOLAS FERNANDES LCSW
56 PERRY ST
FAIRFIELD, CT 06824-3815
Phone number: 203-610-4668
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Mailing Address
NICHOLAS FERNANDES LCSW
56 PERRY ST
FAIRFIELD, CT 06824-3815
Phone number: 203-610-4668
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