Individual
PAMELA KAY HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
(815) 432-5241
(815) 432-4537
Mailing address
PO BOX 322, WATSEKA, IL 60970-0322
(815) 432-5241
(815) 432-4537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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