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1922230671
MATTHEW J BASTIAANSE
BRISTOL, CT
NPI
1922230671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CT 001281)
Enumeration Date
2009-08-13
Last Update Date
2023-02-24
Business Address
Mr. MATTHEW J BASTIAANSE LMFT
29 WINDHAM RD
BRISTOL, CT 06010
Phone number: 860-261-5367
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Mailing Address
Mr. MATTHEW J BASTIAANSE LMFT
29 WINDHAM RD
BRISTOL, CT 06010
Phone number: 860-261-5367
Copy
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