Individual
STEPHANIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 S 5TH W APT 1802, REXBURG, ID 83440-5218
(208) 313-2792
Mailing address
707 S 5TH W APT 1802, REXBURG, ID 83440-5218
(208) 313-2792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 32667
ID
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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