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Individual

MRS. JERRILYN S HERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT,LCSW

Contact information

Practice address
1025 MICHIGAN AVE., SUITE 115, LOGANSPORT, IN 46947-0000
(574) 722-3566
(574) 753-6118
Mailing address
1025 MICHIGAN AVE., SUITE 115, LOGANSPORT, IN 46947-0000
(574) 722-3566
(574) 753-6118

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002638A
IN

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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