Individual
GABRIEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
483 CENTURY LN, HOLLAND, MI 49423-4286
(616) 610-3874
Mailing address
483 CENTURY LN, HOLLAND, MI 49423-4286
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801118969
MI
104100000X
Social Worker
6802090922
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/13/2020
Last updated
09/19/2024
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