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NPI Code Detail

MEDICARE: MS. CAROL LEE HAWTIN LCSW C

MEDICARE: MS. CAROL LEE HAWTIN LCSW C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker07866MD

General Provider Information

NPI Number : 1336294354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL LEE HAWTIN LCSW C
Provider Business Mailing Address
First Line : 937 YACHTSMAN WAY
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-3983
Country : US
Telephone Number : 410-994-4633
Fax Number : 410-544-5939
Provider Business Practice Location Address
First Line : 31 ROBINSON ROAD
Second Line :
City : SEVERNA PARK
State : MD
Zip : 21146-2841
Country : US
Telephone Number : 410-991-4633
Fax Number : 410-544-5939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/08/2007

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Directions to “ MS. CAROL LEE HAWTIN LCSW C” Practice Location

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