KAYLENE HACKWORTH, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1578599049
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LCSW-719 (ID) |
Frequently Asked Questions
NPI 1578599049 is the National Provider Identifier for KAYLENE HACKWORTH, LCSW, a Social Worker - Clinical provider located in Pocatello, ID. This NPI was enumerated on June 24, 2006.
KAYLENE HACKWORTH, LCSW practices at 947 ROCKY POINT RD, Pocatello, ID 83204.
Quick Facts
- NPI
- 1578599049
- Type
- Individual
- Enumerated
- Jun 24, 2006
- Last Updated
- Jul 8, 2007
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