Individual
JEAN R HAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1207 PUEBLO BOULEVARD WAY, PUEBLO, CO 81005-2175
(719) 542-0032
(719) 542-1413
Mailing address
1207 PUEBLO BOULEVARD WAY, PUEBLO, CO 81005-2175
(719) 542-0032
(719) 542-1413
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW0000155
CO
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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