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1114377603
MICHAEL HAWKINS
FREDERICKSBURG, VA
NPI
1114377603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710102682)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- MICHAEL HAWKINS CSAC, NCAC II
3516 PLANK RD 6C
FREDERICKSBURG, VA 22407-6861
Phone number: 703-975-2315
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Mailing Address
-- MICHAEL HAWKINS CSAC, NCAC II
3516 PLANK RD 6C
FREDERICKSBURG, VA 22407-6861
Phone number: 703-975-2315
Copy
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