Individual
HEATHER MICHELLE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
890 OAK ST SE BLDG C, SALEM, OR 97301-3905
(503) 561-3133
(503) 561-1495
Mailing address
890 OAK ST SE BLDG C, P.O. BOX 14001, SALEM, OR 97301-3905
(503) 561-3133
(503) 561-1495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L6533
OR
372600000X
Adult Companion
—
—
Other
Enumeration date
02/18/2011
Last updated
01/25/2016
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