Individual
ANNEMARIE MATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
125 BIGELOW AVE, SCHENECTADY, NY 12304-2832
(518) 292-5510
Mailing address
5A FOXFIRE LN, GLENMONT, NY 12077-2978
(518) 727-1932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
061875
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061875
LMSW
NY
Enumeration date
09/09/2019
Last updated
09/09/2019
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