Individual
MS. JACKIE R HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
956 E 800 S, BOUNTIFUL, UT 84010-3030
(801) 512-5756
Mailing address
956 E 800 S, BOUNTIFUL, UT 84010-3030
(801) 512-5756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
89079-3501
UT
Other
Enumeration date
05/12/2006
Last updated
04/04/2014
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