Individual
AMANDA HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 E WYANDOTTE AVE, MCALESTER, OK 74501-5427
(918) 420-5343
(918) 420-5904
Mailing address
727 E WYANDOTTE AVE, MCALESTER, OK 74501-5427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
20258
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
02/10/2026
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