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1760930499
INGRID VAN HAITSMA
LONGMONT, CO
NPI
1760930499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CO 09928389)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-09-12
Last Update Date
2024-09-13
Business Address
MS. INGRID VAN HAITSMA LCSW
500 COFFMAN ST STE 204
LONGMONT, CO 80501-5445
Phone number: 720-893-1683
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Mailing Address
MS. INGRID VAN HAITSMA LCSW
44 POWDER HORN PL
LONGMONT, CO 80504-1233
Phone number: 720-893-1683
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