Colleen Patricia Havlin Bethel MSW, LICSW

NPI 1598064016 - Social Worker - 1041C0700X

NPI Details
NPI 1598064016
Gender Female
Enumeration Date 03/23/2011
Last Updated 03/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1930 COON RAPIDS BLVD NW
COON RAPIDS MN, 55433-4708, US
Phone (763) 427-7964
Fax
Business Location
1904 44TH AVE N
MINNEAPOLIS MN, 55412-1210, US
Phone (612) 529-5146
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 18238
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According to our database, Colleen Patricia Havlin Bethel MSW, LICSW NPI is 1598064016, taxonomy code is 1041C0700X and license number is 18238, license state is located at Minnesota. Colleen Patricia Havlin Bethel MSW, LICSW physically located at 1930 Coon Rapids Blvd Nw, Coon Rapids MN, 55433-4708. NPI Number Colleen Patricia Havlin Bethel MSW, LICSW has the Individual type.

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1598064016 NPI number is provided on an as is basis without warranty of any kind. 1598064016 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Patricia Havlin Bethel MSW, LICSW are for informational purposes only.