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Individual

DR. JANENE L HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD LP

Contact information

Practice address
640 JACKSON STREET, MAIL STOP 11303A, ST PAUL, MN 55101-2502
(651) 254-9272
(651) 228-8362
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3681
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
808523400
MN
Enumeration date
02/07/2006
Last updated
11/10/2020
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