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Individual
NANCY JO HABERMAN
Active
Individual
NANCY JO HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS20107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70042F
MEDI-CAL PTAN GROUP#
CA
01
—
FHC70044F
MEDI-CAL PTAN GROUP#
CA
01
—
ZZZ91891Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
02/02/2016
Last updated
07/28/2016
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