Individual
CHARLES E HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, ACSW
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Mailing address
4146 E MENDEZ ST UNIT 120, LONG BEACH, CA 90815-5157
(562) 243-7914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW84736
CA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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