Individual
LETICIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
116 FAIRBANKS ST, HILLSIDE, NJ 07205-2833
(908) 965-3424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SL05208800
NJ
1041S0200X
School Social Worker
Primary
44SL05208800
NJ
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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