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Individual
MR. MICHAEL MOOKIE CRUZ MANALILI
Active
Individual
MR. MICHAEL MOOKIE CRUZ MANALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MTS, MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
000226082
MA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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