Individual
MR. LOUIS WADSWORTH MATTIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
9045 FOREST CENTRE DR STE 102, GERMANTOWN, TN 38138-7857
(901) 756-5788
Mailing address
9045 FOREST CENTRE DR STE 102, GERMANTOWN, TN 38138-7857
(901) 756-5788
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1279
TN
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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