Individual
MRS. REBECCA LEIGH HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5124
Mailing address
2704 NATALIE DR, CHAMPAIGN, IL 61822-7354
(217) 714-6778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
02/22/2016
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