Individual
MATT HASLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1808 EAST HIGHWAY 50, SYRACUSE, KS 67878-0359
(620) 794-4631
Mailing address
PO BOX 359, SYRACUSE, KS 67878-0359
(620) 794-4631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5015
KS
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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