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Individual

MRS. ELISSA ANN MATRISCIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 FLANDERS RD, EAST HAMPTON, CT 06424-6617
(845) 222-3898
Mailing address
18 FLANDERS RD, EAST HAMPTON, CT 06424-6617

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1691
CT
104100000X
Social Worker
5156
CT

Other

Enumeration date
05/14/2019
Last updated
12/12/2024
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