Individual
MS. ANGELA L CHRISTMAS-MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 HUBBLE STREET, PULASKI, NY 13142
(315) 298-6535
Mailing address
PO BOX 755, PULASKI, NY 13142
(315) 298-6535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R052144
NY
Other
Enumeration date
03/06/2007
Last updated
05/06/2019
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