Individual
KATHY LEA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
320 OAKLEY DR, STATE COLLEGE, PA 16803-1353
(814) 933-7593
Mailing address
320 OAKLEY DR, STATE COLLEGE, PA 16803-1353
(814) 933-7593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134311
PA
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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