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Individual

JOSE FREDERICK HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
9846 LORENE LN, SAN ANTONIO, TX 78216-4438
(830) 730-6090
Mailing address
1706 E 21ST ST, MISSION, TX 78572-3126
(956) 638-5449

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112936
TX

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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