Individual
SAMANTHA HAWKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1750 S BRENTWOOD BLVD STE 205, SAINT LOUIS, MO 63144-1315
(314) 881-0350
Mailing address
909 OAKWOOD FARMS LN, BALLWIN, MO 63021-7907
(314) 409-6384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023037352
MO
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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