Individual
DENA HAYWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
164 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-8000
(765) 421-4535
Mailing address
164 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906
(765) 421-4535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34007468A
IN
Other
Enumeration date
08/12/2015
Last updated
07/21/2022
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