JERRY HAVENS

MARION, IN
NPI1073566998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  34001583A)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
-- JERRY HAVENS LCSW
505 N WABASH AVE
MARION, IN 46952-2608
Phone number: 765-662-3971
Mailing Address
-- JERRY HAVENS LCSW
505 N WABASH AVE
MARION, IN 46952-2608
Phone number: 765-662-3971
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