Thomas A Herold MSW, LMSW

NPI 1295081099 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1295081099
Gender Male
Enumeration Date 07/30/2012
Last Updated 07/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1471 GRACE ST SE
GRAND RAPIDS MI, 49506-1678, US
Phone (616) 913-2006
Fax
Business Location
1471 GRACE ST SE
GRAND RAPIDS MI, 49506-1678, US
Phone (616) 913-2006
Fax
Toxanomy
Taxonomy Code 103K00000X
License State Michigan
License Number 6801064914
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According to our database, Mr. Thomas A Herold MSW, LMSW NPI is 1295081099, taxonomy code is 103K00000X and license number is 6801064914, license state is located at Michigan. Thomas A Herold MSW, LMSW physically located at 1471 Grace St Se, Grand Rapids MI, 49506-1678. NPI Number Thomas A Herold MSW, LMSW has the Individual type.

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1295081099 NPI number is provided on an as is basis without warranty of any kind. 1295081099 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas A Herold MSW, LMSW are for informational purposes only.