Individual
MICHAEL EUGENE MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1963 W MOUNT DR, SCOTTSBURG, IN 47170-6801
(812) 752-6044
Mailing address
504 STATON RD, HENRYVILLE, IN 47126-8740
(812) 294-1336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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