Individual
HEATHER HAZELWOOD DAUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Mailing address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3504
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100293210
—
KY
Enumeration date
06/02/2011
Last updated
11/28/2022
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