Individual
MRS. THERESE M HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
2814 S US HIGHWAY 1, D-4, FORT PIERCE, FL 34982-8120
(772) 489-4726
(772) 489-0423
Mailing address
2814 S US HIGHWAY 1, D-4, FORT PIERCE, FL 34982-8120
(772) 489-4726
(772) 489-0423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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