Individual
MR. BRIAN DAVID MATWIEJEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.G.S.W.
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(302) 388-4114
Mailing address
2903 STONE GATE BLVD, ELKTON, MD 21921-4169
(302) 388-4114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G13032
MD
Other
Enumeration date
01/24/2007
Last updated
08/29/2007
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