Individual
VELMA HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW, CICSW
Contact information
Practice address
415 N MAIN ST, POYNETTE, WI 53955-8963
(608) 635-2146
(608) 635-7379
Mailing address
415 N MAIN ST, POYNETTE, WI 53955-8963
(608) 635-2146
(608) 635-7379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011506
PHYSICIANS PLUS
WI
05
—
39541400
—
WI
Enumeration date
12/29/2005
Last updated
07/09/2007
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