Individual
MRS. KRISTINA NICHOL MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2704 WASHINGTON AVE STE 2, VINCENNES, IN 47591-3668
(812) 615-9208
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 492-6498
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33006552A
IN
1041C0700X
Clinical Social Worker
Primary
34007303A
IN
Other
Enumeration date
08/30/2013
Last updated
01/09/2025
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