JACQUELINE MATA

MONROE, CT
NPI1700148608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-06-15
Last Update Date2012-06-15
Business Address
-- JACQUELINE MATA
101 WILLIAM HENRY DR
MONROE, CT 06468-2556
Phone number: 203-520-2034
Mailing Address
-- JACQUELINE MATA
101 WILLIAM HENRY DR
MONROE, CT 06468-2556
Phone number: 203-520-2034