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Individual

LEIANN HAWLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2913 OAK HILL ST, SIERRA VISTA, AZ 85650-5120
(520) 220-9110
(520) 378-0999
Mailing address
2913 OAK HILL ST, SIERRA VISTA, AZ 85650-5120
(517) 914-2608
(520) 378-0999

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085606
MI
1041C0700X
Clinical Social Worker
Primary
LCSW-12949
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
557462
AHCCCS
AZ
Enumeration date
07/26/2006
Last updated
06/08/2011
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