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Individual
ROBERT W HERNDON
Active
Individual
ROBERT W HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10538
TX
106H00000X
Marriage & Family Therapist
001911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S08E
BCBS
TX
05
—
063960101
—
TX
Enumeration date
06/09/2005
Last updated
07/03/2024
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