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1134863681
EDWIN MATARA MUMA
LOWELL, MA
NPI
1134863681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
EDWIN MATARA MUMA
101 JACKSON ST
LOWELL, MA 01852-2103
Phone number: 978-459-8656
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Mailing Address
EDWIN MATARA MUMA
101 JACKSON ST
LOWELL, MA 01852-2103
Phone number: 978-459-8656
Copy
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