Individual
DESIREE L HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 S JOHN F KENNEDY AVE, LOOGOOTEE, IN 47553-1624
(812) 295-3090
(812) 295-4328
Mailing address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004512A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216332
ANTHEM BLUE CROSS
IN
01
—
343425
MHN
IN
Enumeration date
02/27/2006
Last updated
08/05/2008
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