Individual
CECILIA ELENA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-1037
(505) 515-5702
Mailing address
2313 GEMINI RD NE, RIO RANCHO, NM 87124-7572
(505) 515-5702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08491
NM
Other
Enumeration date
07/30/2008
Last updated
10/05/2014
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