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1780230581
STEVEN M HERNANDEZ
GARY, IN
NPI
1780230581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN CII-2100)
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
STEVEN M HERNANDEZ M,A,T,S, , CADAC II
8000 MELTON RD
GARY, IN 46403-3114
Phone number: 219-938-4651
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Mailing Address
STEVEN M HERNANDEZ M,A,T,S, , CADAC II
8000 MELTON RD
GARY, IN 46403-3114
Phone number: 219-938-4651
Copy
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