Individual
MS. MARLEY ANN HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW
Contact information
Practice address
6220 S LINDBERGH BLVD, SUITE 201, SAINT LOUIS, MO 63123-7802
(314) 602-6650
(314) 741-4180
Mailing address
6220 S LINDBERGH BLVD, SUITE 300, SAINT LOUIS, MO 63123-7802
(314) 602-6650
(314) 741-4180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000267
MO
Other
Enumeration date
05/28/2007
Last updated
03/05/2014
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