Individual
ROSA M HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 PARK AVE, WORCESTER, MA 01609-1953
(508) 799-0688
Mailing address
255 PARK AVE, WORCESTER, MA 01609-1953
(508) 799-0688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
216220
MA
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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