Most Relevant Information
Provider Data
| NPI Number: | 1003284142 |
| Provider Name: | YVONNE HERTICH MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2015 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
8949 MANCHESTER RD
BRENTWOOD
MO
631442621
Practice Location Phone/Fax
| Phone: | 3143294326 |
| Fax: |
Provider Mailing Location
512 N CHERRY ST
O FALLON
IL
622691120
Provider Mailing Phone/Fax
| Phone: | 4145308615 |
| Fax: |