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1235961749
JORDAN RAYE HERNANDEZ
LOS ANGELES, CA
NPI
1235961749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 112906)
Enumeration Date
2024-08-14
Last Update Date
2024-08-15
Business Address
JORDAN RAYE HERNANDEZ
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
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Mailing Address
JORDAN RAYE HERNANDEZ
11521 FARNDON ST
SOUTH EL MONTE, CA 91733-4511
Phone number: 562-350-3799
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