Individual
KATHLEEN RAE HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
312 E ALTA VISTA AVE, BEHAVIORAL HEALTH COUNSELING SERVICES, OTTUMWA, IA 52501-1413
(641) 684-3135
(641) 684-3198
Mailing address
312 E ALTA VISTA AVE, BEHAVIORAL HEALTH COUNSELING SERVICES, OTTUMWA, IA 52501-1413
(641) 684-3135
(641) 684-3198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03179
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268730
—
IA
01
—
207475
IOWA HEALTH SOLUTIONS
IA
01
—
420681060A9
JOHN DEERE HEALTH
IA
01
—
I020
TRIWEST
IA
Enumeration date
08/30/2005
Last updated
10/16/2007
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