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Individual
KELLY ANN HAWKINS
Active
Individual
KELLY ANN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15815
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
01
—
464301
MANAGED HEALTH NETWORK (MHN)
MD
01
—
600645538
MAGELLAN BEHAVIORAL HEALTH
MD
05
—
609550001
—
MD
05
—
609550004
—
MD
01
—
9179835
AETNA
MD
01
—
LM49EA
CAREFIRST BCBS
MD
01
—
R968
CAREFIRST FEDERAL
MD
Enumeration date
08/22/2006
Last updated
08/06/2014
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