Individual
DIAN D HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 REID ST, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-2252
(253) 968-3278
Mailing address
9040 REID ST, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-2252
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00009492
WA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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