Most Relevant Information
Provider Data
NPI Number: | 1003069907 |
Provider Name: | KIRK W MATTHEWS LMSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 6801079844 |
Most Important Dates
Enumeration Date: | 10/23/2008 |
Last Updated: | 05/01/2020 |
Provider Practice Location
1414 W FAIR AVE
MARQUETTE
MI
498552675
Practice Location Phone/Fax
Phone: | 9067743300 |
Fax: |
Provider Mailing Location
200 W SPRING ST
MARQUETTE
MI
498554630
Provider Mailing Phone/Fax
Phone: | 9062331236 |
Fax: | 9062331235 |