Individual
JEANNE HARVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2070 W RUDASILL RD, STE 130, TUCSON, AZ 85704-7891
(520) 797-4468
(520) 797-4502
Mailing address
1760 E RIVER RD, 350, TUCSON, AZ 85718-5999
(520) 519-7775
(520) 519-7760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW0096I
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642349
—
AZ
Enumeration date
03/16/2006
Last updated
02/02/2012
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