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Individual

KIRK DENYS MATEFY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2157 NORTH AVE, BRIDGEPORT, CT 06604-2438
(203) 335-0345
Mailing address
2157 NORTH AVE, BRIDGEPORT, CT 06604-2438
(203) 335-0345

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11217
CT

Other

Enumeration date
10/21/2020
Last updated
11/14/2025
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