Provider Information for 1144237868
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ANGELA MATHEW LMFT
Sex: Female
NPI: 1144237868
Last Updated: 2007-08-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1144237868 | ||||||||
| Enumeration Date | 2006-08-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1100 WALNUT ST OWENSBORO, KY 42301-2956 United States Phone: 270-689-6500 | Fax: | ||||||||
| Primary Practice Address | 1100 WALNUT ST OWENSBORO, KY 42301-2956 United States Phone: 270-689-6500 | Fax: | ||||||||
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