Organization
ANN HERZOG, ACSW, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN HERZOG ACSW, LCSW (PSYCHOTHERAPIST)
(314) 602-6650
Entity
Organization
Contact information
Practice address
6220 S LINDBERGH BLVD, SUITE 300, SAINT LOUIS, MO 63123-7839
(314) 602-6650
Mailing address
6220 S LINDBERGH BLVD, SUITE 300, SAINT LOUIS, MO 63123-7839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SW000267
MO
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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