Individual
DEBRA L MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
400 E EISENHOWER, SUITE B, ANN ARBOR, MI 48108-3302
(734) 232-2600
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801017867
MI
1041C0700X
Clinical Social Worker
6801017867
MI
Other
Enumeration date
01/06/2011
Last updated
06/10/2011
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