Individual
DEBRA A HAVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
37 KINGS RD, MADISON, NJ 07940-2500
(973) 476-4503
Mailing address
62 SHADYLAWN DR, MADISON, NJ 07940-1012
(973) 476-4503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15100
MD
1041C0700X
Clinical Social Worker
Primary
44SC05474700
NJ
Other
Enumeration date
09/10/2009
Last updated
06/18/2012
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