Individual
ANGELICA M. HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
10570 S FEDERAL HWY STE 200, PORT SAINT LUCIE, FL 34952-5606
(772) 380-9972
(772) 380-9976
Mailing address
10570 S FEDERAL HWY STE 200, PORT SAINT LUCIE, FL 34952-5606
(772) 380-9972
(772) 380-9976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/12/2014
Last updated
08/24/2020
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