Mata Fasilis

NPI #1891481750 in Norwell, Massachusetts

Provider Information

NPI Number: 1891481750
Entity Type: Individual
Name: Mata Fasilis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 13, 2023
Last Updated: Apr 13, 2023

Practice Location

Address: 200 CORDWAINER DR STE 304
City: Norwell
State: Massachusetts
ZIP Code: 02061-1671
Phone: (781) 546-2968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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