Individual
NITIKA DARSHAE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4720 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 676-6773
(334) 460-9721
Mailing address
399 TUCKER RD, GRADY, AL 36036-6206
(334) 372-1307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
4770G
AL
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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