Individual
KENYA MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
715 KENNEDY ST NW, 14, WASHINGTON, DC 20011-3096
(301) 332-8028
Mailing address
715 KENNEDY ST NW, 14, WASHINGTON, DC 20011-3096
(301) 332-8028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15847
MD
1041S0200X
School Social Worker
Primary
LG50079423
DC
Other
Enumeration date
12/22/2010
Last updated
10/10/2013
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