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Individual
MR. JOHN JOSEPH HAVERLICK
Active
Individual
MR. JOHN JOSEPH HAVERLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWR
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PR009313-1
NY
1041C0700X
Clinical Social Worker
Primary
PR009313-1
NY
106H00000X
Marriage & Family Therapist
PR009313-1
NY
Other
Enumeration date
06/27/2006
Last updated
07/31/2008
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