Individual
MRS. ANISSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1923 E ECKERMAN AVE, WEST COVINA, CA 91791-1113
(626) 332-4600
Mailing address
158 GENTRY ST, POMONA, CA 91767-2100
(909) 599-8222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ACSW71440
CA
Other
Enumeration date
09/17/2014
Last updated
03/09/2021
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