Individual
EILEEN M. HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
5030 NORTHWIND DR, SUITE 108, EAST LANSING, MI 48823-5034
(517) 336-4335
(517) 336-0101
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 336-4335
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009001
MI
Other
Enumeration date
03/06/2008
Last updated
09/05/2008
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