Individual
BREANNA NOEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4615 E 4TH ST, LUBBOCK, TX 79403-4805
(806) 317-4207
Mailing address
4615 E 4TH ST, LUBBOCK, TX 79403-4805
(806) 317-4207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107518
TX
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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