Individual
MR. ISAAC HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.W.
Contact information
Practice address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(787) 464-9004
Mailing address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(787) 464-9004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15711
PR
Other
Enumeration date
02/05/2010
Last updated
03/02/2020
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