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Individual

CHRISTINE BARBARA HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACSW, LCSW, LMSW

Contact information

Practice address
533 N NOVA RD, SUITE 203, ORMOND BEACH, FL 32174-4447
(386) 672-7274
Mailing address
PO BOX 4118, ORMOND BEACH, FL 32175-4118
(386) 672-7274

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5932
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z9730
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/12/2005
Last updated
12/23/2014
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