Individual
HECTOR RENE MATASCASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, LSSW
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
(952) 435-6797
Mailing address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
(952) 435-6797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20398
MN
1041S0200X
School Social Worker
465187
MN
Other
Enumeration date
01/03/2013
Last updated
10/25/2017
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