Individual
MR. JEAN PAUL HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4603
(510) 410-8087
Mailing address
1615 COCHRANE CIR, FT CARSON, CO 80913-4603
(510) 410-8087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007373
NC
Other
Enumeration date
01/26/2012
Last updated
04/22/2024
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