PHILLIP HATHAWAY

REXBURG, ID
NPI1316507296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-38731)
Enumeration Date2019-06-13
Last Update Date2019-06-13
Business Address
PHILLIP HATHAWAY LMSW
253 S 2ND E BSMT
REXBURG, ID 83440-2202
Phone number: 253-232-3957
Mailing Address
PHILLIP HATHAWAY LMSW
253 S 2ND E BSMT
REXBURG, ID 83440-2202
Phone number: 253-232-3957
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