Individual
GABRIELLE HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, IBCLC, PMH-C
Contact information
Practice address
53 OAK DR, WEST BROOKFIELD, MA 01585-2807
(508) 237-8786
Mailing address
53 OAK DR, WEST BROOKFIELD, MA 01585-2807
(508) 237-8786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
108-97905
MA
Other
Enumeration date
10/22/2009
Last updated
04/11/2019
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