Individual
WILLIAM HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LSW
Contact information
Practice address
63 N 11TH ST, NEWARK, NJ 07107-1115
(973) 580-2878
Mailing address
63 N 11TH ST, NEWARK, NJ 07107-1115
(973) 580-2878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05456200
NJ
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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