Individual
BRIAN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCSW-751
Contact information
Practice address
7905 FALL CREEK RD., WILSON, WY 83014
(307) 733-9098
Mailing address
PO BOX 290, WILSON, WY 83014-0290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-751
WY
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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