Individual
BRITTANY S MATTHIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
422 TRACY CT, CRYSTAL LAKE, IL 60014-6288
(815) 363-6132
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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