Individual
JOHN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4581 LIFESTYLE LN, MIDLOTHIAN, VA 23112-4807
(804) 317-5756
(804) 510-0929
Mailing address
4581 LIFESTYLE LN, MIDLOTHIAN, VA 23112-4807
(804) 317-5756
(804) 482-2590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008919
VA
Other
Enumeration date
04/03/2015
Last updated
01/17/2020
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