Individual
ELWANDA F HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1825 E BROADWAY ST, FORREST CITY, AR 72335-3409
(901) 745-2857
Mailing address
4009 E MALLORY AVE, MEMPHIS, TN 38111-7007
(901) 745-2857
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0302003
AR
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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