Most Relevant Information
Provider Data
NPI Number: | 1003057472 |
Provider Name: | LORRAINE MATHES BSLBSW |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: | 6802057967 |
Most Important Dates
Enumeration Date: | 03/16/2009 |
Last Updated: | 03/16/2009 |
Provider Practice Location
1270 DORIS RD.
AUBURN HILLS
MI
48326
Practice Location Phone/Fax
Phone: | 2482768159 |
Fax: | 2482769833 |
Provider Mailing Location
851 OAKWOOD BLVD. #3
DEARBORN
MI
48124
Provider Mailing Phone/Fax
Phone: | 3135611776 |
Fax: |