Individual
MS. SDIANE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
JAMES A HALEY VA MEDICAL CENTER, 13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612
(813) 972-2000
Mailing address
2067 INVERNESS GREENS DR, SUN CITY CENTER, FL 33573-7221
(813) 486-5394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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