MATTHEW IWATA

SAINT PAUL, MN
NPI1518670371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  24616)
Enumeration Date2022-12-26
Last Update Date2022-12-26
Business Address
MATTHEW IWATA LICSW
1060 GRAND AVE UNIT 211
SAINT PAUL, MN 55105-3820
Phone number: 612-208-2865
Mailing Address
MATTHEW IWATA LICSW
2136 FORD PKWY # 5481
SAINT PAUL, MN 55116-2850
Phone number: 612-208-2865
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