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Individual

EMMA C HERTZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6197 S RURAL RD, SUITE 101, TEMPE, AZ 85283-2909
(480) 273-7110
(480) 378-3781
Mailing address
6197 S RURAL RD, SUITE 101, TEMPE, AZ 85283-2909
(480) 273-7110
(480) 378-3781

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15491
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
792318
AZ
Enumeration date
03/18/2011
Last updated
06/29/2015
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