Individual
MICHELLE ADRIAN MATTHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
202 A ST, ELGIN, OK 73538-2153
(580) 919-6511
Mailing address
201 CRESTVIEW DR, ELGIN, OK 73538-8906
(580) 919-6511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7134
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53197
LCSW LICENSURE
TX
01
—
7134
LCSW LICENSURE
OK
Enumeration date
09/14/2006
Last updated
11/05/2019
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