Individual
MARISELA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 BACON ST, INDIANAPOLIS, IN 46227-3107
(317) 260-8306
Mailing address
1205 BACON ST, INDIANAPOLIS, IN 46227-3107
(317) 260-8306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34012008A
IN
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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