Individual
BRIDGETTE K HATHAWAY
Active
Individual
BRIDGETTE K HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NY
1041C0700X
Clinical Social Worker
Primary
093976
NY
1041C0700X
Clinical Social Worker
TPSW3393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997780
—
NY
Enumeration date
07/17/2020
Last updated
10/29/2024
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