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Individual

MRS. CHRISTINE HAWKINS EHLIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MN, CNS-BC

Contact information

Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-5771
(864) 455-4540
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19449
SC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
19449
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0576
SC
Enumeration date
07/20/2011
Last updated
05/18/2012
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