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1801636576
TERESA MATTUTAT
DEER PARK, NY
NPI
1801636576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
TERESA MATTUTAT
770 GRAND BLVD
DEER PARK, NY 11729-5750
Phone number: 631-392-4357
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Mailing Address
TERESA MATTUTAT
24 COLD SPRING HILLS RD
HUNTINGTON, NY 11743-5104
Phone number: 516-635-6254
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