Individual
MS. AILEEN HERNANDEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 830-1630
(508) 830-0768
Mailing address
139 COMPASS CIR, HYANNIS, MA 02601-2738
(508) 360-9411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
221328
MA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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