Dian D Hathaway Valid NPI

Individual provider · Clinical Social Worker · Joint Base Lewis Mcchord, WA

NPI

1215232186

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LW 00009492 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2011-01-24

Last updated

2011-01-24