Individual
MRS. LYNETTA WEATHERS MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 949-5470
(812) 948-7405
Mailing address
3907 ELGIN WAY, LOUISVILLE, KY 40216-4908
(502) 494-2487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004565A
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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