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Individual

DOROTHY M. HERZING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
66 E 3RD ST, 201, WINONA, MN 55987-3478
(507) 452-7292
(507) 457-9887
Mailing address
66 E 3RD ST, 201, WINONA, MN 55987-3478
(507) 452-7292
(507) 457-9887

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00452
MN
1041C0700X
Clinical Social Worker
Primary
8677
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118046
MN
05
529757500
MN
01
731291012005
PREFERRED ONE
MN
01
974T8HE
BCBS-MN
MN
01
HP32678
HEALTHPARTNERS
MN
Enumeration date
12/12/2006
Last updated
11/30/2011
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