Individual
GABRIELLE MATIJOSAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 S CHESTER RD STE 105, SWARTHMORE, PA 19081-1800
(610) 203-6102
Mailing address
513 N OLD MIDDLETOWN RD, MEDIA, PA 19063-4429
(610) 203-6102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022981
PA
1041C0700X
Clinical Social Worker
Q1-0012398
DE
Other
Enumeration date
10/10/2022
Last updated
01/14/2024
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