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Individual
MR. MARIO HIPOLITO IRIGOYEN
Active
Individual
MR. MARIO HIPOLITO IRIGOYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05377600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275406118
MARIO H IRIGOYEN LCSW LLC
NJ
Enumeration date
01/27/2011
Last updated
09/05/2011
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