Individual
MATTHEW MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 HOWANUT RD, OAKVILLE, WA 98568-9659
(360) 709-1733
Mailing address
420 HOWANUT RD, OAKVILLE, WA 98568-9659
(360) 709-1733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC19802
ME
1041C0700X
Clinical Social Worker
Primary
LW61246149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC19802
LICENSED CLINICAL SOCIAL WORKER
ME
01
—
LW61246149
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
WA
Enumeration date
11/13/2018
Last updated
09/11/2024
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