Individual
AMETRIOUS MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 E 15TH AVE, COLUMBUS, OH 43211-2420
(513) 550-3502
Mailing address
1106 E 15TH AVE, COLUMBUS, OH 43211-2420
(513) 550-3502
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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