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1164895124
THOMAS HERTZOG
ALEXANDRIA, MN
NPI
1164895124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303328)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- THOMAS HERTZOG BS, LADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-736-3912
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Mailing Address
-- THOMAS HERTZOG BS, LADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-736-3912
Copy
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