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Data Detail

Name: Angela O. Herzog 

Designation: Ph.D.

Issue Date: 2/13/1985

Expiration Date: 6/30/2024

License Number: 25 323

Disciplinary Action: None

Company: self-employed

City: Oxford

State: MS

Zip: 38655

Work Phone: (601) 942-2865  Ext:

Civil Commitment Certification: Yes