Theresa Herron
NPI #1326502816 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1326502816
- Entity Type
- Individual
- Name
- Theresa Herron
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Mar 19, 2019
Practice Location
- Address
- 902 W MAIN ST
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896-2210
- Phone
- (618) 937-6483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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