Individual
EBONIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
101 XENIA ST SUITE 200 SW, WASHINGTON, DC 20032
(202) 765-1265
Mailing address
8603 SWEET ROSE CT, UPPER MARLBORO, DC 20032
(202) 400-2163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGPC00563
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGPC00563
LICENSE
DC
Enumeration date
09/03/2020
Last updated
09/03/2020
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