Individual
LA'TREVIA CONDEEJA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 AUGUSTA DR STE 290, HOUSTON, TX 77057-2263
(713) 428-8700
Mailing address
1220 AUGUSTA DR STE 290, HOUSTON, TX 77057-2263
(713) 428-8700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
28799
MD
104100000X
Social Worker
Primary
67557
TX
104100000X
Social Worker
903003384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094
—
VA
05
—
2717
—
TX
05
—
3302
—
MD
Enumeration date
12/28/2022
Last updated
06/16/2024
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