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Individual

MRS. JENNIFER ANNNE MATIYOSUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
283 BIRCHBARK DR, HANSON, MA 02341-2103
(339) 788-7873
Mailing address
283 BIRCHBARK DR, HANSON, MA 02341-2103
(339) 788-7873

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MA

Other

Enumeration date
05/24/2012
Last updated
05/24/2012
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