Individual
ANGELA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
USA MEDDAC, 11050 MT. BELVEDERE BLVD, FORT DRUM, NY 13602
(315) 774-0770
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-2778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092018
NY
Other
Enumeration date
10/07/2016
Last updated
10/14/2022
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