Individual
MS. PAMELA JILL MATICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 SYCAMORE WAY, BRANFORD, CT 06405-6551
(203) 800-7177
Mailing address
14 SYCAMORE WAY, BRANFORD, CT 06405-6551
(203) 800-7177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084543-1
NY
1041C0700X
Clinical Social Worker
12586
CT
Other
Enumeration date
03/09/2011
Last updated
11/09/2022
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