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1194208447
JENNIFER LOPEZ HERNANDEZ
KISSIMMEE, FL
NPI
1194208447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
JENNIFER LOPEZ HERNANDEZ MSW
111 E MONUMENT AVE
KISSIMMEE, FL 34741-5762
Phone number: 407-930-4711
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Mailing Address
JENNIFER LOPEZ HERNANDEZ MSW
604 CARIBOU CT
KISSIMMEE, FL 34759-4202
Phone number: 787-248-4751
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