Individual
CARA E MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1337 N MERIDIAN AVE STE 9, WICHITA, KS 67203-4641
(316) 619-1864
Mailing address
1337 N MERIDIAN AVE STE 9, WICHITA, KS 67203-4641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12133
KS
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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