Individual
EBONY HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 947-4206
Mailing address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 947-4206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
01/22/2020
Last updated
06/29/2021
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