IVAN A MATTHEW

ROCHESTER, NY
NPI1245977768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  084938)
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
IVAN A MATTHEW LCSW
223 MYSTIC LN
ROCHESTER, NY 14623-5448
Phone number: 585-576-4830
Mailing Address
IVAN A MATTHEW LCSW
223 MYSTIC LANE
ROCHESTER, NY 14623-5448
Phone number: 585-576-4830