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1902524846
ZAIRA IVELISSE MATIAS
WATERBURY, CT
NPI
1902524846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
ZAIRA IVELISSE MATIAS
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Phone number: 203-756-8021
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Mailing Address
ZAIRA IVELISSE MATIAS
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Phone number: 203-756-8021
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