Individual
MRS. KANCHANA MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 BRULE ST BLDG 871, FORT KNOX, KY 40121-6100
(814) 746-0378
Mailing address
200 BRULE ST BLDG 871, FORT KNOX, KY 40121-6100
(814) 746-0378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012576
NC
Other
Enumeration date
10/08/2019
Last updated
09/02/2025
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