Individual
DERMARY HERNANDEZ FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RLCSWI
Contact information
Practice address
4826 SW 49TH RD, OCALA, FL 34474
(352) 679-6711
Mailing address
4826 SW 49TH RD, OCALA, FL 34474-6299
(352) 679-6711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15647
PR
1041C0700X
Clinical Social Worker
16913
FL
Other
Enumeration date
01/12/2023
Last updated
03/05/2024
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