Individual
MR. BRIAN S HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W
Contact information
Practice address
1005 BLAND ST, NORFOLK, VA 23513-3386
(757) 572-7206
Mailing address
1005 BLAND ST, NORFOLK, VA 23513-3386
(757) 572-7206
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2090-01-001
VA
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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