Individual
ALEXANDRIA ELIZABETH MATARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4291
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03937
RI
1041C0700X
Clinical Social Worker
LCSW228953
MA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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