Individual
JUDY HAEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38242 SARNETTE ST, CLINTON TOWNSHIP, MI 48036-4038
(586) 954-9042
Mailing address
38252 SARNETTE, CLINTON TOWNSHIP, MI 48036
(586) 954-9042
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704210354
MI
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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