Individual
CHAVA HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5601 1ST AVE, BROOKLYN, NY 11220-2517
(718) 942-3888
Mailing address
179 HOPKINS ST, BROOKLYN, NY 11206-5038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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