Individual
ANTHONY ALAN MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
200 EASTERN AVE SE, GRAND RAPIDS, MI 49503-4735
(616) 776-0891
(616) 233-0718
Mailing address
330 EASTERN AVE SE, GRAND RAPIDS, MI 49503-4737
(616) 776-0891
(616) 233-0718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092929
MI
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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