Individual
CHRISTIANA MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
725 JENSEN GROVE DR STE 4, BLACKFOOT, ID 83221-1636
(208) 274-4565
Mailing address
725 JENSEN GROVE DR STE 4, BLACKFOOT, ID 83221-1636
(208) 274-4565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-45108
ID
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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