Individual
MR. JOHN THOMAS HAWLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6612 GULTON CT NE STE A, ALBUQUERQUE, NM 87109-4407
(505) 888-1686
Mailing address
5318 CANADA VISTA PL NW, ALBUQUERQUE, NM 87120-2412
(816) 769-9533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
001890
KS
1041C0700X
Clinical Social Worker
001890
MO
1041C0700X
Clinical Social Worker
Primary
C-09410
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55885314
—
NM
Enumeration date
08/22/2013
Last updated
01/21/2019
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