Individual
MATTHEW LORENZO VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3113 1ST AVE NW, CEDAR RAPID, IA 52405
(319) 899-8612
Mailing address
269 HAWKEYE CT, IOWA CITY, IA 52246-2820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007544
IA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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