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Individual
MRS. KATHLEEN HERTERT
Active
Individual
MRS. KATHLEEN HERTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
130760
OH
1041C0700X
Clinical Social Worker
Primary
I.1501373
OH
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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