Individual
KRISTIN NICOLE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 FRIENDSHIP CIR STE 300, CUMMING, GA 30028-6920
(770) 240-0163
(770) 240-0163
Mailing address
1715 FRIENDSHIP CIR STE 300, CUMMING, GA 30028-6920
(770) 240-0163
(770) 240-0163
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
PCET003449
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP012269
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP012269
STATE LICENSE
GA
Enumeration date
08/26/2021
Last updated
09/22/2022
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