Individual
MS. DEBRA K MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1604 ORLANDO ST, FRIENDSWOOD, TX 77546
(240) 888-5066
Mailing address
1604 ORLANDO ST, FRIENDSWOOD, TX 77546
(240) 888-5066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12916
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008304600
—
MD
01
—
12916
LCSW-C
MD
Enumeration date
10/31/2006
Last updated
12/16/2020
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