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Individual

SANDRA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9735 TEAK LN., MESILLA PARK, NM 88047
(575) 649-6375
Mailing address
9735 TEAK LN., MESILLA PARK, NM 88047
(575) 649-6375

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
NM
1041C0700X
Clinical Social Worker
NM
1041S0200X
School Social Worker
NM

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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