Individual
WITNEY L HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 888-6282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090894
IA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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