Individual
MRS. ETHEL LAURETTA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10215 SEA PINES DR, MITCHELLVILLE, MD 20721-3125
(301) 350-0353
(301) 350-0353
Mailing address
10215 SEA PINES DR, MITCHELLVILLE, MD 20721-3125
(301) 350-0353
(301) 350-0353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PRC774
DC
1041C0700X
Clinical Social Worker
Primary
LC300870
DC
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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