Individual
MRS. SAMMIE M MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 10 AVE, PORT HURON, MI 48060-3822
(810) 982-3042
(810) 982-3042
Mailing address
2903 NORTH BLVD, PORT HURON, MI 48060-6986
(810) 650-1515
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
10/15/2009
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