Individual
JESSICA RUSSELL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1930 MARLTON PIKE E, BUILDING Q, CHERRY HILL, NJ 08003-2150
(856) 994-3343
(856) 434-7112
Mailing address
1930 MARLTON PIKE E, BUILDING Q, CHERRY HILL, NJ 08003-2150
(856) 994-3343
(856) 434-7112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05240800
NJ
Other
Enumeration date
06/23/2008
Last updated
10/08/2014
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