Individual
LOIS ERICKSON HERZOG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
180 10TH ST SE, LE MARS, IA 51031-2557
(712) 546-4624
Mailing address
214 KENTUCKY AVE SW, ORANGE CITY, IA 51041-1506
(712) 737-3123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00865
IA
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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