Individual
LISA ANN HERNANDEZ-KAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 732-3678
Mailing address
2198 OLD CHURCH RD, TOMS RIVER, NJ 08753-8008
(732) 864-1550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL00407900
NJ
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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