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Individual

MRS. CAROL LYNN HAWKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
84 E MOUND ST, JACKSON, OH 45640-1226
(740) 577-3834
(740) 577-3834
Mailing address
84 E MOUND ST, JACKSON, OH 45640-1226
(740) 577-3834
(740) 577-3834

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174496
OH
163W00000X
Registered Nurse
RN.169066
OH

Other

Enumeration date
02/10/2021
Last updated
03/10/2021
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