Individual
ESTELLE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21227 N COUNTY ROAD 3350, WYNNEWOOD, OK 73098-9356
(140) 520-7011
Mailing address
21227 N COUNTY ROAD 3350, WYNNEWOOD, OK 73098-9356
(405) 207-0116
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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