Individual
BOBBI JO MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 E BYERS AVE, OWENSBORO, KY 42303-6472
(502) 262-4489
Mailing address
850 E BYERS AVE, OWENSBORO, KY 42303-6472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3400837A
IN
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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