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Individual

TRANEICE HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
182 RILEY AVE STE E2, MACON, GA 31204-0776
(478) 227-8531
Mailing address
182 RILEY AVE STE E2, MACON, GA 31204-0776

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
NA
GA
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
GA
Enumeration date
07/14/2021
Last updated
07/14/2021
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