MATTHEW MATHENY

ROCKFORD, IL
NPI1285000893
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  150014269)
Additional Taxonomies104100000X Social Worker
(Licence: MI  6801096221)
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
-- MATTHEW MATHENY LSW
514 1/2 CHESTNUT ST
ROCKFORD, IL 61102-2265
Phone number: 313-495-6503
Mailing Address
-- MATTHEW MATHENY LSW
514 1/2 CHESTNUT ST
ROCKFORD, IL 61102-2265
Phone number: 313-495-6503