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Individual

DR. JUDY ANN HAFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7580
(208) 828-3940
Mailing address
STERLING MEDICAL ASSOCIATES ATTN CREDENTIALS, 411 OAK STREET, CINCINNATI, OH 45219
(513) 984-1800
(513) 984-4909

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-202279
ID

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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