Male or Other

Mr. Matthew Lance LBSW

Social Worker in Bay City, MI(View on Map)

Full Name

Mr. Matthew Lance LBSW

NPI Number

1124570023

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/27/2016

Specialties

(Taxonomies)

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

6802060388

Contact
Information

Purpose

Mailing
Location

Address

1217 S EUCLID AVE
1217 S EUCLID AVE

City

Bay City
Bay City

State

MI
MI

Postal Code

48706-3311
48706-3311

Country

US
US

Telephone Number

(989) 667-9661
(989) 667-9661

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/27/2016

Provider Address

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