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Individual

MEGAN JEAN HATHAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, CDP

Contact information

Practice address
14803 15TH AVE NE, SHORELINE, WA 98155-7110
(206) 362-7282
Mailing address
450 CENTRAL WAY UNIT 2207, KIRKLAND, WA 98033-4569

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60229255
WA
1041C0700X
Clinical Social Worker
Primary
SC60545721
WA

Other

Enumeration date
10/11/2017
Last updated
10/11/2017
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