Individual
LUIS DANIEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1819 PEACHTREE RD NE STE 450, ATLANTA, GA 30309-1853
(910) 332-5734
(910) 332-5739
Mailing address
4116 KITTRELL FARMS DR # T-8, GREENVILLE, NC 27858-8151
(919) 273-0506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013449
NC
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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