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Individual

TRUCLY KIM HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
773 CENTRAL AVE, WESTFIELD, NJ 07090-2528
(908) 228-2740
Mailing address
615 SUMMIT RD, UNION, NJ 07083-7760
(862) 202-9980

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06791700
NJ

Other

Enumeration date
01/11/2023
Last updated
01/11/2023
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