Individual
MRS. CARMEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1635 CENTRAL AVENUE, SOUTHWEST CT MENTAL HEALTH SYSTEM, BRIDGEPORT, CT 06610
(203) 551-7660
Mailing address
1635 CENTRAL AVENUE, SOUTHWEST CT MENTAL HEALTH SYSTEM, BRIDGEPORT, CT 06610
(203) 551-7660
(203) 551-7481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006634
CT
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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