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Individual
MICHAEL HERNANDEZ
Active
Individual
MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801110264
MI
1041C0700X
Clinical Social Worker
6802087531
MI
247200000X
Other Technician
—
—
Other
Enumeration date
11/26/2013
Last updated
06/25/2021
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