Individual
CONNIE JENNIE LYNN HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 WERNLE RD RM B6, RICHMOND, IN 47374-7015
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007549A
IN
Other
Enumeration date
06/17/2011
Last updated
05/25/2016
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