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Individual

AMY NICOLE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PCSW

Contact information

Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
6900 ALDEN DR BLDG 160, CHEYENNE, WY 82005-2945
(307) 631-5021

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/11/2016
Last updated
03/31/2023
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