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1184801391
MITCHELL H HERZOG
ITHACA, NY
NPI
1184801391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R-071369)
Enumeration Date
2008-01-30
Last Update Date
2018-04-18
Business Address
Mr. MITCHELL H HERZOG LCSW-R
401 E STATE ST STE 201
ITHACA, NY 14850-4400
Phone number: 607-277-7079
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Mailing Address
Mr. MITCHELL H HERZOG LCSW-R
401 E STATE ST STE 201
ITHACA, NY 14850-4400
Phone number: 607-277-7079
Copy
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