Blake Andrew Mathews, LCSW

NPI #1245479179 in Oswego, Illinois

Provider Information

NPI Number: 1245479179
Entity Type: Individual
Name: Blake Andrew Mathews, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 17, 2009
Last Updated: Aug 4, 2020

Practice Location

Address: 644 HAWLEY DR
City: Oswego
State: Illinois
ZIP Code: 60543-4070
Phone: (630) 204-0473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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