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Individual

MS. KATHLEEN JOLEEN HERZOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
Mailing address
413 E 4TH ST, LITCHFIELD, MN 55355-2208
(320) 221-2411

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1776
MN

Other

Enumeration date
04/05/2018
Last updated
04/05/2018
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