Individual
FELIPE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
55 TOWN LINE RD STE 101, WETHERSFIELD, CT 06109-4317
(860) 757-3702
(860) 471-8255
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7559
(860) 550-7596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4371
CT
Other
Enumeration date
08/19/2011
Last updated
02/01/2012
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