MR. Justin I. Hersom, LCSW

NPI #1871937078 in Tillamook, Oregon

Provider Information

NPI Number
1871937078
Entity Type
Individual
Name
MR. Justin I. Hersom, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 18, 2013
Last Updated
Jul 12, 2022

Practice Location

Address
17250 WILSON RIVER HWY
State
Oregon
ZIP Code
97141-9145
Phone
(832) 326-8552

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Social Worker

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