Individual
MATTHEW GORDON HAYGOOD
Active
Individual
MATTHEW GORDON HAYGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACII1114
DC
1041C0700X
Clinical Social Worker
Primary
LC50079305
DC
Other
Enumeration date
02/10/2011
Last updated
04/16/2013
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