Individual
BARBARA DERRICK HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
378 CARRIAGE HOUSE DR STE F, JACKSON, TN 38305-2254
(731) 664-1922
(731) 664-0779
Mailing address
378 CARRIAGE HOUSE DR STE F, JACKSON, TN 38305-2254
(731) 664-1922
(731) 664-0779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
TNLSW3555
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3925625
—
TN
01
—
4035054
BLUECROSS BLUESHIELD
TN
Enumeration date
11/20/2006
Last updated
07/08/2007
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