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Individual

MICHELLE HERNANDEZ

Active
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Individual

MICHELLE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
SW13200
FL
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/30/2009
Last updated
06/12/2019
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