Hawkins-Jack, Ruby Lisa

Hawkins-Jack, Ruby Lisa is an sole proprietor health care provider with primary practice located at 358 Jamaica Way , Niceville FL 32578-3831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hawkins-Jack, Ruby Lisa can be contacted via phone (850) 279-3045.

Contact Information

Primary practice address
358 Jamaica Way Niceville FL 32578-3831
Phone: (850) 279-3045
Fax: (850) 279-3045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801081884 Michigan
Behavioral Health & Social Service Providers / School 1041S0200X 6801081884 Michigan

Profile Details

NPI number 1619233566
LBN Legal business name Hawkins-Jack, Ruby Lisa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2012
Last updated Apr 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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