MATTHEW HAWTHORNE

STANFORD, KY
NPI1356758734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-07-17
Last Update Date2014-07-17
Business Address
-- MATTHEW HAWTHORNE
322 FRONTIER BLVD
STANFORD, KY 40484-7730
Phone number: 606-365-2197
Mailing Address
-- MATTHEW HAWTHORNE
322 FRONTIER BLVD
STANFORD, KY 40484-7730
Phone number: 606-365-2197