Individual
JAIMIE LEIGH MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3334 SSW LOOP 323 STE 114, TYLER, TX 75701-9237
(903) 343-6215
Mailing address
3334 SSW LOOP 323 STE 114, TYLER, TX 75701-9237
(903) 343-6215
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203642
TX
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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