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Individual
MR. MIGUEL ANGEL MATOS
Active
Individual
MR. MIGUEL ANGEL MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC005363
PA
Other
Enumeration date
11/13/2007
Last updated
10/14/2010
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