Individual
MISS ALEXSIS RENAE MATTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
99 S CAMERON ST, HARRISBURG, PA 17101-2809
(717) 233-7290
(717) 233-5334
Mailing address
21 WEST MAIN STREET, SHIREMANSTOWN, PA 17011
(717) 233-7290
(717) 233-5334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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