Individual
KIM A DEMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 MAIN ST, ESSEX, CT 06426
(860) 767-1517
(860) 767-7703
Mailing address
28 MAIN ST, ESSEX, CT 06426
(860) 767-1517
(860) 767-7703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002242
CT
Other
Enumeration date
07/28/2006
Last updated
02/04/2019
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