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Individual

CAROLINE KING HAWK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1 FIFTH AVENUE & ROOSEVELT ROAD, HINES VA HOSPITAL, SCI CENTER BUILDING 128, HINES, IL 60141
(708) 202-3994
(708) 202-7960
Mailing address
PO BOX 5000, HINES VA HOSPIAL, SCI CENTER BUILDING 128, HINES, IL 60141-5000
(708) 202-3994
(708) 202-7960

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006521
IL

Other

Enumeration date
08/19/2006
Last updated
07/08/2007
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