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1033705538
JACQUELINE ELIZA HERNANDEZ
NEW YORK, NY
NPI
1033705538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 100455-01)
Enumeration Date
2020-12-18
Last Update Date
2020-12-18
Business Address
JACQUELINE ELIZA HERNANDEZ MHC-LP
19 UNION SQ W FL 7
NEW YORK, NY 10003-3304
Phone number: 212-627-9600
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Mailing Address
JACQUELINE ELIZA HERNANDEZ MHC-LP
1662 CORNELIA ST
RIDGEWOOD, NY 11385-4723
Phone number: 646-250-1160
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