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Individual

MS. AMELIA IRENE HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5709 E BEVERLY BLVD, LOS ANGELES, CA 90022-2823
(626) 616-8427
Mailing address
5709 E BEVERLY BLVD, LOS ANGELES, CA 90022-2823
(626) 616-8427

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW 63780
CA
104100000X
Social Worker
ASW63780
CA
1041C0700X
Clinical Social Worker
109292
CA

Other

Enumeration date
07/25/2012
Last updated
08/15/2022
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