Individual
MR. ANTHONY M MALTESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
358 MONTAUK AVE, NEW LONDON, CT 06320-4706
(860) 443-1396
Mailing address
338 S UNION ST, GUILFORD, CT 06437-2827
(860) 443-1396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000585
CT
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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