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Individual

MEGAN HAWK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1680 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 830-8740
(330) 830-0912
Mailing address
1166 4TH ST SE, NEW PHILADELPHIA, OH 44663-9318
(330) 447-6563

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.15568-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0173604
OH
Enumeration date
04/24/2014
Last updated
05/01/2018
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