Individual
MATTHEW KOSTROSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 843-9192
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 843-9192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11610
KS
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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