Individual
BEATRICE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 483-1251
Mailing address
PO BOX 608, MALONE, NY 12953-0608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2018
Last updated
07/30/2025
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