Individual
PATRICIA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(215) 888-0602
Mailing address
1480 THORNBERRY RD, WYNCOTE, PA 19095-2309
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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