Individual
LATOYIA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 PROVIDENCE WALK CT, CANTON, GA 30114-8622
(813) 751-9945
Mailing address
209 PROVIDENCE WALK CT, CANTON, GA 30114-8622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC007166
GA
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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