Susan Debra Matatia
Counselor in Stow, MA. Individual provider (NPI-1).
NPI number1982187308
StatusActive
Last updated in NPPESSep 11, 2018
Details
- NPI
- 1982187308
- Entity type
- Individual (NPI-1)
- Name
- Susan Debra Matatia
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2018
- Last updated
- Sep 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 1019443 | MA | Yes |
Practice location
301 Taylor RdStow, MA 01775-1609
Phone 978-461-2969
Mailing address
301 Taylor RdStow, MA 01775-1609
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