Individual
JESSICA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 73145-8716
(057) 342-7784
Mailing address
7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 73145-8716
(405) 734-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5552
OK
1041C0700X
Clinical Social Worker
Primary
6630
OK
Other
Enumeration date
10/28/2016
Last updated
01/27/2023
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