Most Relevant Information
Provider Data
| NPI Number: | 1003278755 |
| Provider Name: | EDWARD CHARLES HERMAN LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LW00009674 |
Most Important Dates
| Enumeration Date: | 03/22/2016 |
| Last Updated: | 03/22/2016 |
Provider Practice Location
50 SE BLUFF LOOP RD.
SHELTON
WA
98584
Practice Location Phone/Fax
| Phone: | 3605801054 |
| Fax: |
Provider Mailing Location
50 SE BLUFF LOOP RD.
SHELTON
WA
98584
Provider Mailing Phone/Fax
| Phone: | 3605801054 |
| Fax: |