Individual
DR. CARL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DBH
Contact information
Practice address
1176 E WARNER RD STE 216, GILBERT, AZ 85296-3069
(480) 200-4000
Mailing address
2122 E WESTCHESTER DR, CHANDLER, AZ 85249-4684
(480) 200-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-13087
AZ
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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