Connerly, Kristine Haworth

Connerly, Kristine Haworth is an individual health care provider with primary practice located at 2712 S Calhoun St , Fort Wayne IN 46807-1402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Connerly, Kristine Haworth can be contacted via phone (260) 744-4326.

Contact Information

Primary practice address
2712 S Calhoun St Fort Wayne IN 46807-1402
Phone: (260) 744-4326
Fax: (260) 744-0188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33001557A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000747A Indiana

Profile Details

NPI number 1053450940
LBN Legal business name Connerly, Kristine Haworth
Credentials LMFT,LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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