WADE ANTHONY HATHAWAY

BRONX, NY
NPI1295742724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  72-068851)
Enumeration Date2006-08-01
Last Update Date2009-01-12
Business Address
Mr. WADE ANTHONY HATHAWAY LCSW
130 W KINGSBRIDGE RD 5B-09-C, JJ PETERS VAMC,
BRONX, NY 10468
Phone number: 718-584-9000
Mailing Address
Mr. WADE ANTHONY HATHAWAY LCSW
3218 CAMBRIDGE AVE NO 3
BRONX, NY 10463
Phone number: 347-427-2988
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