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Phillip Hathaway, LMSW
NPI 1316507296 · on the registry since 2019
Practice
- Address
- 253 S 2nd E Bsmt
Rexburg, ID 83440 - Phone
- (253) 232-3957
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho