Individual
MS. JESSICA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
655 BROADWAY, PATERSON, NJ 07514-1923
(973) 523-0089
Mailing address
467 LINCOLN AVE APT C302, ORANGE, NJ 07050-2253
(973) 607-9588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06135000
NJ
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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