Individual
MONIQUE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-3502
(719) 632-4569
Mailing address
4640 ANJELINA CIR N, COLORADO SPRINGS, CO 80916-2508
(719) 271-9171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009920854
CO
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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