Provider Demographics
NPI:1487268371
Name:HAWKINS, DEJANIQUE M
Entity type:Individual
Prefix:MS
First Name:DEJANIQUE
Middle Name:M
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26196 ANNAPOLIS ST
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-3280
Mailing Address - Country:US
Mailing Address - Phone:313-898-5509
Mailing Address - Fax:
Practice Address - Street 1:26196 ANNAPOLIS ST
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-3280
Practice Address - Country:US
Practice Address - Phone:313-898-5509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker