Individual
ODALYS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
(857) 234-4825
Mailing address
110 BOSTON ST, SALEM, MA 01970-1402
(857) 234-4825
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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