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1285874727
BIJIMON MANNIL MATHEW
TAMPA, FL
NPI
1285874727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW5551)
Enumeration Date
2009-02-24
Last Update Date
2009-02-24
Business Address
Mr. BIJIMON MANNIL MATHEW LCSW
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
Mr. BIJIMON MANNIL MATHEW LCSW
14517 BRUCE B DOWNS BLVD 201
TAMPA, FL 33613-2755
Phone number: 813-228-2761
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