Carolyn A Mattes LISW

NPI 1104019488 - Counselor - 101YA0400X

NPI Details
NPI 1104019488
Gender Female
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2421 13TH ST NW
CANTON OH, 44708-3116, US
Phone (330) 588-2204
Fax (330) 454-4357
Business Location
CANTON OH, 44703-2463, US
Phone (330) 452-9812
Fax (330) 430-1288
Taxonomy Code 101YA0400X
License State Ohio
License Number 892542
Remove 1104019488 NPI Number

According to our database, Carolyn A Mattes LISW NPI is 1104019488, taxonomy code is 101YA0400X and license number is 892542, license state is located at Ohio. Carolyn A Mattes LISW physically located at 2421 13th St Nw, Canton OH, 44708-3116. NPI Number Carolyn A Mattes LISW has the Individual type.

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1104019488 NPI number is provided on an as is basis without warranty of any kind. 1104019488 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn A Mattes LISW are for informational purposes only.