Individual
ANDREW HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, PCSW
Contact information
Practice address
3625 5TH ST STE 100, RAPID CITY, SD 57701-6002
(605) 490-9705
Mailing address
3625 5TH ST STE 100, RAPID CITY, SD 57701-6002
(605) 490-9705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-813
WY
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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