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1013556158
MICHAEL J MAZUCCI-MAMBALA
BRANDON, FL
NPI
1013556158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW16647)
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
Mr. MICHAEL J MAZUCCI-MAMBALA L.C.S.W.
510 VONDERBURG DR SUITE 301
BRANDON, FL 33511-6072
Phone number: 813-881-1000
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Mailing Address
Mr. MICHAEL J MAZUCCI-MAMBALA L.C.S.W.
510 VONDERBURG DR SUITE 301
BRANDON, FL 33511-6072
Phone number: 813-881-1000
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