Individual
MS. DENISE LAVISHA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
1077 13TH ST SE, HICKORY, NC 28602-4165
(704) 864-6573
Mailing address
103 SASSAFRAS RD, MOORESVILLE, NC 28115-0019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011568
NC
Other
Enumeration date
11/01/2018
Last updated
07/15/2019
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