Individual
MAGGIE MARIA MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 CUMBERLAND AVE, WEST LAFAYETTE, IN 47906-1310
(765) 610-4674
Mailing address
1305 CUMBERLAND AVE, WEST LAFAYETTE, IN 47906-1310
(765) 610-4674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
09/12/2023
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