Individual
MRS. WANDA ENIT HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3010 BORDENTOWN AVE STE B2, PARLIN, NJ 08859-1181
(732) 365-3933
Mailing address
42 LORTON COURT, OLD BRIDGE, NJ 08857
(917) 757-7196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05520600
NJ
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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