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Individual

JOSE GIL MATOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW-S

Contact information

Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4315
Mailing address
217 MARINERS CIR APT E, SHEFFIELD LAKE, OH 44054-3006
(440) 731-0492

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1800933-SUPV
OH

Other

Enumeration date
05/22/2019
Last updated
05/22/2019
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