Individual
CARRIE HAVERKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1150 SCIOTO ST, SUITE 200, URBANA, OH 43078-2289
(937) 652-4555
Mailing address
426 HAGENBUCH ST, URBANA, OH 43078-1114
(937) 652-3789
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0600183
OH
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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