Individual
ROBERTO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
255 HWY 187, HATCH, NM 87937-0370
(575) 267-3088
(575) 267-4606
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09675
NM
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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