Individual
ANDREA I HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 AUTUMN ST, ROOM # AU 434, BOSTON, MA 02215-5393
(617) 355-0995
Mailing address
1 AUTUMN ST, ROOM # AU 434, BOSTON, MA 02215-5393
(617) 355-0995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
214234
MA
1041C0700X
Clinical Social Worker
Primary
213234
MA
Other
Enumeration date
03/17/2007
Last updated
08/15/2007
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