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1962816348
KIMBERLY HATHAWAY
GRANTS PASS, OR
NPI
1962816348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OR L11595)
Enumeration Date
2014-06-13
Last Update Date
2024-02-07
Business Address
KIMBERLY HATHAWAY
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-613-5620
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Mailing Address
KIMBERLY HATHAWAY
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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