THADDEUS MATTMILLER

LEXINGTON, KY
NPI1821148438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KY  1524)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2007-01-12
Last Update Date2018-03-07
Business Address
THADDEUS MATTMILLER LCSW
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511
Mailing Address
THADDEUS MATTMILLER LCSW
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511