Individual
MADELYN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 CRAIG RD STE 307, CREVE COEUR, MO 63141-7122
(314) 722-6879
Mailing address
12391 TRIBUTARY DR # 2191J, MARYLAND HEIGHTS, MO 63043-2178
(314) 756-7888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2025036966
MO
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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