Doctor Name: | GLENNA M HAWN |
NPI Number: | 1053341206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACSW |
License Number: | 25303 |
Business Practice Address: | 516 N Kaweah Ave Exeter, CA - 932211200 |
Business Phone Number: | 5595944969 |
Business Fax Number: | 5595944308 |
Mailing Address: | 516 N Kaweah Ave, EXETER |
State: | CA |
Postal Code: | 932211200 |
Phone Number: | 5595944969 |
Fax Number: | 5595944308 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 04/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 25303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |