Search › Massachusetts › 1041C0700X
Andrea Mattisen, LICSW BCD
NPI 1912034760 · on the registry since 2007 · sole proprietor
Practice
- Address
- 162 Commercial St
Boston, MA 02109 - Phone
- (617) 742-2270
- Fax
- (617) 742-2270
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts