MR. Rathbun Fuller Mather JR., LCSW

NPI #1295941995 in NY, New York

Provider Information

NPI Number: 1295941995
Entity Type: Individual
Name: MR. Rathbun Fuller Mather JR., LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 16, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 80 E 11TH ST
Address 2: SUITE 510
City: NY
State: New York
ZIP Code: 10003
Phone: (718) 638-0192

Specialties & Taxonomy Codes

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

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