T Mathis Development Llc | |
517 Little League Blvd Clarksville IN 47129-6629 | |
(888) 948-6789 | |
(877) 345-3501 |
Full Name | T Mathis Development Llc |
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Speciality | Social Worker - Clinical |
Location | 517 Little League Blvd, Clarksville, Indiana |
Authorized Official Name and Position | William Anthony Mathis (OWNER) |
Authorized Official Contact | 5027782006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
T Mathis Development Llc 4860 Robb St Ste 201 Wheat Ridge CO 80033-2162 Ph: (888) 948-6789 | T Mathis Development Llc 517 Little League Blvd Clarksville IN 47129-6629 Ph: (888) 948-6789 |
NPI Number | 1932672797 |
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Provider Enumeration Date | 01/04/2019 |
Last Update Date | 01/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932672797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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