Individual
TESCHA ANN HAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18243 STATE HIGHWAY 66, HARLEM, MT 59526-9099
(406) 399-1577
Mailing address
PO BOX 1152, HARLEM, MT 59526-1152
(406) 399-1577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-39072
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BBH-SWLC-LIC-39072
—
MT
Enumeration date
11/15/2019
Last updated
01/30/2020
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