Individual
KAELYNA ROSE HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-3874
Mailing address
76 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-3874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
06/14/2018
Last updated
03/22/2024
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