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Individual

MR. EDWIN LEWIS HAWKES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2436
(217) 373-2444
Mailing address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2436
(217) 373-2444

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/19/2006
Last updated
07/08/2007
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