Individual
BLANCA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2805 LAS VEGAS CT STE B, LAS CRUCES, NM 88007-4108
(575) 522-5144
Mailing address
1223 PLAIN ST, LAS CRUCES, NM 88001-5634
(575) 650-7028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09689
NM
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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