Individual
PAUL BERNARD MATENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 E. WOODROW WILSON DR., DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER (586/122, JACKSON, MS 39216-5591
(601) 362-4471
(601) 368-4093
Mailing address
1500 EAST WOODROW WILSON DRIVE, DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER (586/122), JACKSON, MS 39216-5591
(601) 362-4471
(601) 368-4093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0732
MS
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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