Individual
CATHERINE D HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, LSW
Contact information
Practice address
2600 OAKLAND AVE, ELKHART, IN 46517-1533
(574) 533-1234
(574) 537-2652
Mailing address
PO BOX 809, GOSHEN, IN 46527-0809
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006021A
IN
Other
Enumeration date
10/16/2012
Last updated
10/22/2014
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