Provider Demographics
NPI:1225277916
Name:HAGGARD, KAREN ANN (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:HAGGARD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
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Mailing Address - Street 1:7015 ROTE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-2612
Mailing Address - Country:US
Mailing Address - Phone:815-395-1276
Mailing Address - Fax:815-395-1280
Practice Address - Street 1:164 DIVISION ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5587
Practice Address - Country:US
Practice Address - Phone:224-242-5110
Practice Address - Fax:224-856-1350
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL149.0108631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical