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1730911132
DESIREE HERNANDEZ
FAIR LAWN, NJ
NPI
1730911132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NJ 37AC00815700)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
DESIREE HERNANDEZ MA, LAC
17-07 ROMAINE ST
FAIR LAWN, NJ 07410-2150
Phone number: 201-797-2660
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Mailing Address
DESIREE HERNANDEZ MA, LAC
69 HOOVER AVE
BLOOMFIELD, NJ 07003-5227
Phone number: 954-646-3374
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