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1295573848
JENNIFER HATHAWAY
BRIDGEPORT, WV
NPI
1295573848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
JENNIFER HATHAWAY
417 WILLIS AVE
BRIDGEPORT, WV 26330-1551
Phone number: 304-677-8714
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Mailing Address
JENNIFER HATHAWAY
417 WILLIS AVE
BRIDGEPORT, WV 26330-1551
Phone number: 304-677-8714
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