Individual
MRS. CAROL HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1910 SAINT JOE CENTER RD, STE 23, FORT WAYNE, IN 46825-5000
(260) 484-5599
Mailing address
1910 SAINT JOE CENTER RD, STE 23, FORT WAYNE, IN 46825-5000
(260) 494-6529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003517A
IN
Other
Enumeration date
04/05/2011
Last updated
01/17/2022
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