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Individual

BRUCE W HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
738 S MAIN ST, SUITE 203, ADRIAN, MI 49221-3787
(517) 266-8880
(517) 266-8881
Mailing address
738 S MAIN ST, SUITE 203, ADRIAN, MI 49221-3787
(517) 266-8880
(517) 266-8881

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004232
MI
104100000X
Social Worker
6802062829
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30294
MI
Enumeration date
02/26/2008
Last updated
02/26/2008
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