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Individual

KARLA J. DEGARMO-HAAKENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2825 PRAIRIE AVE, BELOIT, WI 53511-1844
(608) 368-3320
(608) 365-2709
Mailing address
2825 PRAIRIE AVE, BELOIT, WI 53511-1844
(608) 368-3320
(608) 365-2709

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1535-123
WI
1041C0700X
Clinical Social Worker
Primary
1535-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427024678
BCBSWI
WI
05
1427024678
WI
05
40913800
WI
01
84908-0054
WI MEDICARE
WI
01
HAAKEKAR-MO
MERCYCARE INSURANCE
WI
Enumeration date
02/27/2006
Last updated
07/21/2022
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