AMANDA N HERZOG

CHAMPAIGN, IL
NPI1457526444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: IL  H622-0148-5785)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
-- AMANDA N HERZOG
1007 WILSHIRE CT
CHAMPAIGN, IL 61821-6934
Phone number: 217-493-2265
Mailing Address
-- AMANDA N HERZOG
1007 WILSHIRE CT
CHAMPAIGN, IL 61821-6934
Phone number:
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