Individual
MR. CALVIN PAUL MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
72 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4234
(616) 742-0351
Mailing address
72 SHELDON BLVD. SE, GRAND RAPIDS, MI 49503
(616) 742-0351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093607
MI
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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