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Individual

MARK HAVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SPEECH PATHOLOGIST

Contact information

Practice address
28070 COUNTY ROAD 24, ELKHART, IN 46517-9717
(574) 295-6260
Mailing address
28070 COUNTY ROAD 24, ELKHART, IN 46517-9717
(574) 295-6260

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004163A
IN

Other

Enumeration date
02/22/2024
Last updated
02/22/2024
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