Individual
MR. JOSEPH RICHARD HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
203 MARY LOU DR, HINESVILLE, GA 31313-3413
(912) 369-7777
(912) 369-2030
Mailing address
203 MARY LOU DR, HINESVILLE, GA 31313-3413
(912) 369-7777
(912) 369-2030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2049
GA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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