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Individual

ALICIA K HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(260) 312-4013
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(260) 312-4012

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008029A
IN

Other

Enumeration date
12/09/2019
Last updated
12/16/2024
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