Individual
MR. MATTHEW PAUL YANKUSKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-2273
Mailing address
785 MAXEY MARIE, EL PASO, TX 79932-4216
(575) 318-6606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-09034
NM
Other
Enumeration date
01/29/2014
Last updated
01/24/2024
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