Individual
ANDREA SMITH-HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Contact information
Practice address
595 W MAIN ST, WATERTOWN, NY 13601-1381
(315) 965-4658
Mailing address
595 W MAIN ST, WATERTOWN, NY 13601-1335
(315) 965-4658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118425
NY
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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