BRIAN HERZOG

IBERIA, MO
NPI1700332020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225A00000X Music Therapist
Enumeration Date2016-08-28
Last Update Date2016-09-07
Business Address
Mr. BRIAN HERZOG MT-BC, NMT
451 TAVERN CREEK RD
IBERIA, MO 65486-9193
Phone number: 573-480-1921
Mailing Address
Mr. BRIAN HERZOG MT-BC, NMT
PO BOX 363
CAMDENTON, MO 65020
Phone number: 573-480-1921