Individual
THERESA JOY MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
501 N SAINT CLAIR ST, LIGONIER, PA 15658-1326
(724) 331-3217
Mailing address
501 N SAINT CLAIR ST, LIGONIER, PA 15658-1326
(724) 331-3217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW013566L
PA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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