Individual
MS. BRENDA LEE HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BUILDING 200 DOGWOOD AVENUE, MOUNTAIN HOME, TN 37684
(404) 285-5068
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003651
GA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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