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1306939913
MICHAEL ROGER MATTHEWS
STATEN ISLAND, NY
NPI
1306939913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY pro01695-1)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ROGER MATTHEWS LCSW
1430 CLOVE ROAD SUITE 1
STATEN ISLAND, NY 10301
Phone number: 917-613-2645
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Mailing Address
Mr. MICHAEL ROGER MATTHEWS LCSW
80 VALENCIA AVENUE
STATEN ISLAND, NY 10301
Phone number: 781-981-3790
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