Individual
TANIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6900
Mailing address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-55851
MT
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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