Individual
MS. LORENA MARGARITA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
10 PETERBORO, DETROIT, MI 48201
(313) 831-3160
(313) 963-0103
Mailing address
10 PETERBORO, DETROIT, MI 48201
(313) 831-3160
(313) 963-0103
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014575
MI
Other
Enumeration date
05/01/2013
Last updated
10/18/2019
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