Individual
KIM MARIE MATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
19 HOLLY RIDGE LANE, CONWAY, NH 03818
(603) 447-5435
Mailing address
PO BOX 375, CONWAY, NH 03818-0375
(603) 447-5435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1030763
MA
104100000X
Social Worker
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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