Individual
DURRELL HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 BULLDOG CIR, WAGONER, OK 74467-4571
(918) 485-5553
Mailing address
1138 N DETROIT AVE, TULSA, OK 74106-4747
(918) 282-6150
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
OK
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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