Individual
AIMEE ROSEANN MATTAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
421 SOUTH, BUIES CREEK, NC 27506-0457
(704) 939-1100
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P006988
NC
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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