Individual
MR. ANDREW JASON MATZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1402 GRANDIN RD SW, SUITE 201, ROANOKE, VA 24015-2345
(540) 819-0429
Mailing address
1402 GRANDIN RD SW, SUITE 201, ROANOKE, VA 24015-2345
(540) 819-0429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006475
VA
Other
Enumeration date
05/08/2008
Last updated
06/14/2011
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