Individual
JENNIFER N MATAMOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
22214 D ST, WINFIELD, KS 67156-7376
(620) 442-4540
(620) 442-4559
Mailing address
22214 D ST, WINFIELD, KS 67156-7376
(620) 442-4540
(620) 442-4559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8987
KS
Other
Enumeration date
09/03/2013
Last updated
06/17/2016
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