Individual
STACY HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7892
(740) 773-1264
Mailing address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7892
(740) 773-1264
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN349226
OH
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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