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1770283434
CAROL MARISOL HERNANDEZ
FONTANA, CA
NPI
1770283434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 95594)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
CAROL MARISOL HERNANDEZ LCSW
17424 MADRONE ST
FONTANA, CA 92337-6856
Phone number: 909-645-1140
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Mailing Address
CAROL MARISOL HERNANDEZ LCSW
17424 MADRONE ST
FONTANA, CA 92337-6856
Phone number: 909-645-1140
Copy
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