Most Relevant Information
Provider Data
| NPI Number: | 1003214594 |
| Provider Name: | THOMAS JOSEPH HAITSMA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/15/2014 |
| Last Updated: | 12/15/2014 |
Provider Practice Location
543 NORTH ST
CHILD AND FAMILY SERVICES
NEW BEDFORD
MA
027402782
Practice Location Phone/Fax
| Phone: | 5089845566 |
| Fax: | 5089945527 |
Provider Mailing Location
543 NORTH ST
NEW BEDFORD
MA
027402782
Provider Mailing Phone/Fax
| Phone: | 5089845566 |
| Fax: | 5089945527 |