Individual
PATRICIA RUTH MATHES-KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
341862 GOLFVIEW DR, CHANDLER, OK 74834-6640
(405) 353-2638
Mailing address
341862 GOLFVIEW DR, CHANDLER, OK 74834-6640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5571
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5571
OKLAHOMA STATE BOARD OF LICENSED SOCIAL WORKERS
OK
Enumeration date
12/15/2017
Last updated
12/15/2017
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