RAVEN HERZOG

LONGVIEW, WA
NPI1104271295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2016-04-26
Last Update Date2020-01-14
Business Address
RAVEN HERZOG
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
Mailing Address
RAVEN HERZOG
13256 NE 20TH ST STE 1
BELLEVUE, WA 98005-2021
Phone number: 509-328-2740