Individual
MR. HARRY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
70 OBRIEN DR, MIDDLETOWN, CT 06457-3945
(860) 518-1088
Mailing address
9 HUDSON PL, NEW BRITAIN, CT 06051-4115
(860) 518-1088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001080
CT
273R00000X
Psychiatric Hospital Unit
001080
CT
Other
Enumeration date
11/04/2006
Last updated
08/05/2013
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