Most Relevant Information
Provider Data
| NPI Number: | 1003022302 |
| Provider Name: | CARRIE HAVERKOS MSW, LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | S.0600183 |
Most Important Dates
| Enumeration Date: | 05/15/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1150 SCIOTO ST
SUITE 200
URBANA
OH
430782289
Practice Location Phone/Fax
| Phone: | 9376524555 |
| Fax: |
Provider Mailing Location
426 HAGENBUCH ST
URBANA
OH
430781114
Provider Mailing Phone/Fax
| Phone: | 9376523789 |
| Fax: |