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Individual

MS. CARLA D HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
747 LAUREN PKWY, STONE MOUNTAIN, GA 30083-3483
(678) 576-3824
(770) 469-2838
Mailing address
747 LAUREN PKWY, STONE MOUNTAIN, GA 30083-3483
(678) 576-3824
(770) 469-2838

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003303
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205339263A
GA
Enumeration date
08/10/2006
Last updated
06/25/2008
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