Individual
MR. ANDRO KIM HAWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC, LPC
Contact information
Practice address
111 DAVISSON ST, BRIDGEPORT, WV 26330
(304) 842-7329
Mailing address
111 DAVISSON ST, BRIDGEPORT, WV 26330
(304) 842-7329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1902
WV
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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