Individual
MS. LIDIA ESTER HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9660 IRON LEAF TRL, LAUREL, MD 20723-5878
(240) 480-6457
Mailing address
PO BOX 473, FULTON, MD 20759-0473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP8672
MD
Other
Enumeration date
08/18/2020
Last updated
09/03/2020
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