Search › Minnesota › 104100000X
George Herzog, LICSW
NPI 1417048067 · on the registry since 2006
Practice
- Address
- 325 N 33rd Ave
103
St Cloud, MN 56303 - Phone
- (320) 253-3715
- Fax
- (320) 252-2567
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota