Individual
ILEANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
590 N 7TH ST, NEWARK, NJ 07107-4553
(973) 596-4100
Mailing address
590 N 7TH ST, NEWARK, NJ 07107-4553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
06/03/2020
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