Individual
MRS. ANDREA HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 458-4601
Mailing address
2312 2ND ST, WESTLAND, MI 48186-4453
(734) 731-7880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
01/16/2025
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