Most Relevant Information
Provider Data
| NPI Number: | 1003818311 |
| Provider Name: | SANDRA S MATHEWS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1706 |
Most Important Dates
| Enumeration Date: | 06/01/2005 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
218 RUE LOUIS XIV
STE A
LAFAYETTE
LA
705085766
Practice Location Phone/Fax
| Phone: | 3379881271 |
| Fax: | 3379881272 |
Provider Mailing Location
125 GREEN OAKS DR
LAFAYETTE
LA
705032719
Provider Mailing Phone/Fax
| Phone: | 3372985218 |
| Fax: | 3372896944 |