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1366062101
MIGUEL MATEO
NEWARK, NJ
NPI
1366062101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TA0400X Psychologist Addiction (Substance Use Disorder)
(Licence: NJ NJDCATEMP)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
MIGUEL MATEO
687 FRELINGHUYSEN AVE
NEWARK, NJ 07114-1349
Phone number: 973-799-0508
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Mailing Address
MIGUEL MATEO
2013 PRINCESS CT # 2013
WOODBRIDGE, NJ 07095-3800
Phone number: 908-380-7065
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