MITCHELL H HERZOG

ITHACA, NY
NPI1184801391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R-071369)
Enumeration Date2008-01-30
Last Update Date2018-04-18
Business Address
Mr. MITCHELL H HERZOG LCSW-R
401 E STATE ST STE 201
ITHACA, NY 14850-4400
Phone number: 607-277-7079
Mailing 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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