Individual
CORRY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 LAFAYETTE ST, FORT WAYNE, IN 46806-1100
(260) 481-2770
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34009846A
IN
Other
Enumeration date
12/14/2020
Last updated
10/24/2022
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