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RAYMOND HERZOG MA LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND HERZOG LLP (OWNER OPERATOR)
(616) 901-2784
Entity
Organization

Contact information

Practice address
4829 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49525-9349
(616) 364-3301
Mailing address
4829 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49525-9349
(616) 364-3301

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301011394
MI

Other

Enumeration date
05/11/2018
Last updated
05/11/2018
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