Kathleen A Mathews LICSW

NPI 1104919356 - Social Worker - 1041C0700X

NPI Details
NPI 1104919356
Gender Female
Enumeration Date 10/02/2006
Last Updated 04/27/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
5353 GAMBLE DRIVE, SUITE 110
KATHLEEN A. MATHEWS, LICSW
ST. LOUIS PARK MN, 55416, US
Phone (763) 432-4071
Fax (763) 432-4073
Business Location
5353 GAMBLE DR.
SUITE 110
ST. LOUIS PARK MN, 55416, US
Phone (763) 432-4071
Fax (612) 871-1505
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 10410
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According to our database, Ms. Kathleen A Mathews LICSW NPI is 1104919356, taxonomy code is 1041C0700X and license number is 10410, license state is located at Minnesota. Kathleen A Mathews LICSW physically located at 5353 Gamble Drive, Suite 110, St. Louis Park MN, 55416. NPI Number Kathleen A Mathews LICSW has the Individual type.

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1104919356 NPI number is provided on an as is basis without warranty of any kind. 1104919356 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen A Mathews LICSW are for informational purposes only.