MR. James Kenton Mattox, LCSW

NPI #1952509531 in Marion, Illinois

Provider Information

NPI Number
1952509531
Entity Type
Individual
Name
MR. James Kenton Mattox, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1410 W CHESTNUT ST
City
Marion
ZIP Code
62959-1910
Phone
(618) 997-2129

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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