MS. Andrea Jennifer Herzog, MSW

NPI #1114071933 in Champaign, Illinois

Provider Information

NPI Number: 1114071933
Entity Type: Individual
Name: MS. Andrea Jennifer Herzog, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Jan 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1801 FOX DR
City: Champaign
State: Illinois
ZIP Code: 61820-7236
Phone: (217) 398-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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