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Individual

MICHELLE MARIE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 733-6661
(413) 733-7841
Mailing address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 733-6661
(413) 733-7841

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041S0200X
School Social Worker
Primary
C-11628
NM
1041S0200X
School Social Worker
XC-11628
NM

Other

Enumeration date
02/16/2011
Last updated
05/06/2024
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