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Individual

HEIDI HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ED.S., NCSP

Contact information

Practice address
515 E MAIN ST, FLOYD, VA 24091-2392
(540) 250-0582
Mailing address
PO BOX 924, FLOYD, VA 24091-0924
(540) 250-0582

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0803000260
VA

Other

Enumeration date
07/19/2017
Last updated
07/19/2017
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