Individual
MATTHEW J O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
48 HOWE ST STE 14, NEW HAVEN, CT 06511-4620
(860) 539-0502
Mailing address
41 LONGATE RD, CLINTON, CT 06413-1343
(860) 539-0502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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