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Michael Mutart Valid NPI

Individual provider · Professional Counselor · Enfield, CT

NPI
1427443258
Type
Individual (Type 1)
Primary specialty
Professional Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YP2500X
License number
002712 (CT)
Sex
Male
Sole proprietor
Yes
Enumerated
2015-03-30
Last updated
2015-03-30
Practice location
585 Hazard Ave
Enfield, CT 06082-4241
(413) 237-2973

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