Individual
TERESA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1954 W MARIPOSA PKWY, WHEATLAND, WY 82201-3102
(307) 322-3190
(307) 322-3198
Mailing address
1954 W MARIPOSA PKWY, WHEATLAND, WY 82201-3102
(307) 322-3190
(307) 322-3198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
11/10/2016
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