Individual
EDWARD CHARLES HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
50 SE BLUFF LOOP RD., SHELTON, WA 98584
(360) 580-1054
Mailing address
50 SE BLUFF LOOP RD., SHELTON, WA 98584
(360) 580-1054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009674
WA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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