Individual
LAURA HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1528 WALNUT ST STE 510, PHILADELPHIA, PA 19102-3606
(267) 669-0300
Mailing address
1930 SPRING GARDEN ST APT 3F, PHILADELPHIA, PA 19130-3860
(610) 220-9191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141689
PA
104100000X
Social Worker
—
—
Other
Enumeration date
06/11/2024
Last updated
06/18/2024
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