Individual
MADELYN HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 COLLEGE ST, LEWISTON, ME 04240-2424
(207) 795-4160
Mailing address
601 COLLEGE ST, LEWISTON, ME 04240-2424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC22375
ME
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/13/2023
Last updated
05/14/2025
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