| T Mathis Development Llc | |
|
517 Little League Blvd Clarksville IN 47129-6629 | |
| (888) 948-6789 | |
| (877) 345-3501 |
| Full Name | T Mathis Development Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 517 Little League Blvd, Clarksville, Indiana |
| Authorized Official Name and Position | William Anthony Mathis (OWNER) |
| Authorized Official Contact | 5027782006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Mathis Development Llc 4860 Robb St Ste 201 Wheat Ridge CO 80033-2162 Ph: (888) 948-6789 | T Mathis Development Llc 517 Little League Blvd Clarksville IN 47129-6629 Ph: (888) 948-6789 |
| NPI Number | 1932672797 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932672797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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