Individual
KATHRYN S HABERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2022 3RD AVE NW, WAVERLY, IA 50677-2010
(319) 596-5910
Mailing address
401 MAPLE AVENUE N.E., WAVERLY, IA 50677
(319) 352-2479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06449
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED
—
IA
Enumeration date
03/08/2007
Last updated
10/09/2024
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