Individual
WARREN G HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
71 US ROUTE 1 STE C, SCARBOROUGH, ME 04074-7174
(207) 883-5532
(207) 883-5552
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-5418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0890000910
VT
1041C0700X
Clinical Social Worker
Primary
LC19474
ME
Other
Enumeration date
08/24/2006
Last updated
11/20/2020
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