Provider Information for 1225277916
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Ms. KAREN ANN HAGGARD MSW, LCSW
Sex: Female
NPI: 1225277916
Last Updated: 2014-01-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1225277916 | ||||||||
| Enumeration Date | 2009-02-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7015 ROTE RD SUITE 105 ROCKFORD, IL 61107-2612 United States Phone: 815-395-1276 | Fax:815-395-1280 | ||||||||
| Primary Practice Address | 164 DIVISION ST SUITE 203 ELGIN, IL 60120-5587 United States Phone: 224-242-5110 | Fax:224-856-1350 | ||||||||
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