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THEREZA RADICE HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
21 ROUTE 206, SUITE #2, STANHOPE, NJ 07874
(973) 691-3030
Mailing address
108 HERITAGE LN, HAMBURG, NJ 07419-1332
(973) 691-3030

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00411200
NJ

Other

Enumeration date
02/02/2016
Last updated
04/03/2016
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