Individual
LAURA R HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 WALLACE BLVD, AMARILLO, TX 79106-1735
(806) 318-7712
Mailing address
1001 WALLACE BLVD, AMARILLO, TX 79106-1735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
54511
TX
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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