Individual
MEREDITH E HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 W LEWIS ST, LIVINGSTON, MT 59047-3066
(406) 222-1111
Mailing address
112 W LEWIS ST, LIVINGSTON, MT 59047-3066
(406) 222-1111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-88945
MT
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-63461
MT
Other
Enumeration date
06/15/2023
Last updated
08/13/2026
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