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Individual

MARISSA MATUKAITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34 S LOCUST ST, MOUNT CARMEL, PA 17851-2422
(570) 205-2527
Mailing address
34 S LOCUST ST, MOUNT CARMEL, PA 17851-2422
(570) 205-2527

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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