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Individual

MRS. MARY KATHERINE HAWK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 LAFAYETTE DR, ALEXANDRIA, VA 22308-1177
(703) 765-7275
Mailing address
5340 HOLMES RUN PKWY UNIT 1100, ALEXANDRIA, VA 22304-2850
(703) 220-3524

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016158
VA

Other

Enumeration date
07/22/2019
Last updated
07/22/2019
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