Individual
MRS. THEA G. MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 613-5377
(248) 385-1193
Mailing address
585 THORNRIDGE DR, ROCHESTER HILLS, MI 48307-2856
(248) 894-8883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801102547
MI
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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