Individual
HEATHER HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(171) 524-6991
Mailing address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(171) 524-6991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
19588
MN
104100000X
Social Worker
Primary
9931-120
WI
106H00000X
Marriage & Family Therapist
1132-124
WI
Other
Enumeration date
12/16/2015
Last updated
06/29/2022
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