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Individual
ELLI MARIE MATKIN
Active
Individual
ELLI MARIE MATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ROLFER
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-55311
MT
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
Other
Enumeration date
09/26/2018
Last updated
03/31/2022
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