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1932280112
MARY LUCINDA HERZOG
SANTA ANA, CA
NPI
1932280112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY17932)
Enumeration Date
2006-10-17
Last Update Date
2009-08-27
Business Address
-- MARY LUCINDA HERZOG PhD
405 W. 5TH ST. STE 590
SANTA ANA, CA 92701
Phone number: 714-834-5015
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Mailing Address
-- MARY LUCINDA HERZOG PhD
PO BOX 4431
LAGUNA BEACH, CA 92652-4431
Phone number:
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