Individual
TAVI HAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5717 FALLS RD, BALTIMORE, MD 21209-3707
(443) 415-2593
Mailing address
411 E LAKE AVE APT B, BALTIMORE, MD 21212-2548
(443) 415-2593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C006592
NC
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770622367
NPI
—
Enumeration date
02/06/2007
Last updated
07/17/2019
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