Organization Name: | DAWNA MARIE HASWELL |
NPI Number: | 1013346345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWNA HASWELL (OWNER) |
Mailing Address: | 555 N Byron Butler Pkwy Perry |
State: | FL US |
Postal Code: | 323472315 |
Phone Number: | 8503295776 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 08/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW11077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |