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Individual

ALYSSA DEMATTEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
77 GOODELL ST, BUFFALO, NY 14203-1243
(000) 000-0000
Mailing address
5 CLARA DR, NORWALK, CT 06851-3203
(203) 246-3378

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
4788
CT
1041C0700X
Clinical Social Worker
Primary
011579
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01420795
NY
Enumeration date
06/30/2015
Last updated
04/09/2025
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