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Individual

LISA HAWKINS-EIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
12073 TECH RD STE B, SILVER SPRING, MD 20904-7874
(301) 593-1315
(301) 681-4699
Mailing address
12073 TECH RD STE B, SILVER SPRING, MD 20904-7874
(301) 593-1315
(301) 681-4699

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05652
MD

Other

Enumeration date
11/29/2016
Last updated
11/29/2016
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