Individual
DAVID A HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
215 E BAY ST, 2, LAKELAND, FL 33801-4983
(863) 937-2430
Mailing address
1633 VILLAGE CENTER DR, 306, LAKELAND, FL 33803-2870
(863) 937-2430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10505
FL
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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