Most Relevant Information
Provider Data
| NPI Number: | 1003234139 |
| Provider Name: | PATRICIA J. MATTERN MERRICK LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 02472 |
Most Important Dates
| Enumeration Date: | 04/05/2014 |
| Last Updated: | 04/23/2014 |
Provider Practice Location
1906 625TH AVE
ALBIA
IA
525318502
Practice Location Phone/Fax
| Phone: | 6419322694 |
| Fax: |
Provider Mailing Location
1906 625TH AVE
ALBIA
IA
525318502
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |