Individual
GLORIA ANN HERNANDEZ-DUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS LTD SW
Contact information
Practice address
285 JAMES ST, HOLLAND, MI 49424-1849
(855) 869-6900
(269) 427-5180
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801103173
MI
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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