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Organization
HAVEN HOUSE
Active
Organization
HAVEN HOUSE
Active
Other names
Safe Haven Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA OLSON MS, LCSW (CLINICAL COORDINATOR)
(715) 339-6453
Entity
Organization
Contact information
Practice address
548 N LAKE AVE, PHILLIPS, WI 54555-1028
(715) 339-6453
Mailing address
548 N LAKE AVE, PHILLIPS, WI 54555-1028
(715) 339-6453
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
57598-30
WI
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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