Individual
MR. MATTHEW A AVERSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7004
(603) 624-4366
Mailing address
54 COOLIDGE DR, WASHINGTON, NH 03280-3471
(603) 495-0489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1047
NH
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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