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1093212110
CALEB MICHAEL HATHAWAY
LYNNWOOD, WA
NPI
1093212110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA HATHACM054OA)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
CALEB MICHAEL HATHAWAY
4100 194TH ST SW STE 100
LYNNWOOD, WA 98036-4613
Phone number: 425-426-2761
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Mailing Address
CALEB MICHAEL HATHAWAY
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 425-245-3314
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