Individual
MRS. NICHOLE HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 245-0600
Mailing address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012121
MI
Other
Enumeration date
12/23/2012
Last updated
12/23/2012
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