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Individual

MICHAEL R. HATHAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.F.

Contact information

Practice address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF20000864
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8539553
WA
Enumeration date
01/25/2007
Last updated
07/14/2009
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