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1124685359
JOSE GIL MATOS
LORAIN, OH
NPI
1124685359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.1800933-SUPV)
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
JOSE GIL MATOS LISW-S
6140 S BROADWAY
LORAIN, OH 44053-3821
Phone number: 440-204-4315
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Mailing Address
JOSE GIL MATOS LISW-S
217 MARINERS CIR APT E
SHEFFIELD LAKE, OH 44054-3006
Phone number: 440-731-0492
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