Individual
MRS. TINA HAEFKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14839 254TH RD, HOLTON, KS 66436-8764
(785) 364-5060
Mailing address
14839 254TH RD, HOLTON, KS 66436-8764
(785) 364-5060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW 3095
KS
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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