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1942283148
ALFONSO HERNANDEZ
MODESTO, CA
NPI
1942283148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LCS20714)
Enumeration Date
2005-11-22
Last Update Date
2007-07-08
Business Address
-- ALFONSO HERNANDEZ LCSW
1717 LAS VEGAS ST
MODESTO, CA 95358-5500
Phone number: 209-576-4200
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Mailing Address
-- ALFONSO HERNANDEZ LCSW
737 W CHILDS AVE
MERCED, CA 95340-6805
Phone number: 209-383-1848
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