Individual
MATTHEW JOSEPH FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
392 N MAIN ST, ARCHBALD, PA 18403-1820
(570) 904-7363
(570) 348-4079
Mailing address
228 S MAIN AVE, SCRANTON, PA 18504-2545
(570) 904-7363
(570) 348-4079
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137836
PA
Other
Enumeration date
02/17/2021
Last updated
03/14/2023
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