Individual
KIRBY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12461 HAVENWOOD DR, DENHAM SPRINGS, LA 70726-6540
(225) 572-2242
Mailing address
12461 HAVENWOOD DR, DENHAM SPRINGS, LA 70726-6540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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