NPI | 1417253303 |
---|---|
Other Name | MATT HAYGOOD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079305) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII1114) |
Enumeration Date | 2011-02-10 |
Last Update Date | 2013-04-16 |