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Individual
MICHAEL MUTART
Active
Individual
MICHAEL MUTART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4326
MA
101YP2500X
Professional Counselor
Primary
002712
CT
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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