Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | M-06590 | NM |
NPI | 1003091166 |
---|---|
Provider Name | Hilary Haverkamp |
First Address | Santa Fe, NM 87505-6353 |
Second Address | Santa Fe, NM 87505-6353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2008 |
Last Update Date | 07/01/2008 |