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Individual

DESIREE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LAC

Contact information

Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
69 HOOVER AVE, BLOOMFIELD, NJ 07003-5227
(954) 646-3374

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00815700
NJ

Other

Enumeration date
08/15/2024
Last updated
08/15/2024
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