Individual
KIMBERLY HAUBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
OH
1041C0700X
Clinical Social Worker
254980
KY
1041C0700X
Clinical Social Worker
Primary
34010140A
IN
1041C0700X
Clinical Social Worker
I.1800886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-A-1
LICENSURE
OH
Enumeration date
11/29/2017
Last updated
12/09/2024
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