MR. Jose Alfredo Hernandez, LMSW, QSUDP

NPI #1982029591 in Caldwell, Idaho

Provider Information

NPI Number: 1982029591
Entity Type: Individual
Name: MR. Jose Alfredo Hernandez, LMSW, QSUDP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW, QSUDP
Enumeration Date: Feb 19, 2014
Last Updated: Feb 19, 2014

Practice Location

Address: 704 ALBANY ST
City: Caldwell
State: Idaho
ZIP Code: 83605-3501
Phone: (208) 454-5133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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