Kenyatta B Matthews, LMSW

NPI #1740062231 in Lewiston, Idaho

Provider Information

NPI Number
1740062231
Entity Type
Individual
Name
Kenyatta B Matthews, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LMSW
Enumeration Date
Oct 18, 2023
Last Updated
Oct 18, 2023

Practice Location

Address
312 MILLER ST
State
Idaho
ZIP Code
83501-1944
Phone
(208) 750-1802

Specialties & Taxonomy Codes

Specialty
Social Worker

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