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Individual

SHANAY W HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 569-1877
Mailing address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 569-1877

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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