Individual
QIANA HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 WINTER WHEAT DR, GUTHRIE, OK 73044-7750
(405) 448-2276
Mailing address
104 WINTER WHEAT DR, GUTHRIE, OK 73044-7750
(405) 448-2276
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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