Individual
DEBORAH HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10 HIGH ST STE 10, MEDFORD, MA 02155-3848
(781) 395-1560
(781) 391-5564
Mailing address
PO BOX 311, MEDFORD, MA 02155-0004
(781) 395-1560
(781) 391-5564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859056
—
MA
Enumeration date
10/28/2006
Last updated
08/12/2008
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