Individual
AUTUMN HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
1133 PROSPECT ST APT 4A, SALEM, OH 44460-2070
(330) 913-5712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2208514
OH
Other
Enumeration date
06/01/2023
Last updated
06/07/2023
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