Organization
EMMA HERTZEL LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA HERTZEL (OWNER)
(480) 204-2477
Entity
Organization
Contact information
Practice address
6197 S RURAL RD STE 101, TEMPE, AZ 85283-2909
(480) 204-2477
Mailing address
6197 S RURAL RD STE 101, TEMPE, AZ 85283-2909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184923914
IND NPI
AZ
Enumeration date
12/23/2016
Last updated
12/23/2016
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