Individual
LISA NICOLE HAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 837-1702
(314) 830-6246
Mailing address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009018947
MO
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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