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1144020462
STACEY ANN MATAN
BERLIN, CT
NPI
1144020462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 009211)
Enumeration Date
2025-03-17
Last Update Date
2025-03-17
Business Address
Mrs. STACEY ANN MATAN
132 MISTY MOUNTAIN RD
BERLIN, CT 06037-2748
Phone number: 203-214-3191
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Mailing Address
Mrs. STACEY ANN MATAN
132 MISTY MOUNTAIN RD
BERLIN, CT 06037-2748
Phone number: 203-214-3191
Copy
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