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1386116010
MIRANDA MATTAS
ESCONDIDO, CA
NPI
1386116010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA AMFT109220)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
MIRANDA MATTAS AMFT, APCC
1029 N BROADWAY
ESCONDIDO, CA 92026-3043
Phone number: 760-489-4126
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Mailing Address
MIRANDA MATTAS AMFT, APCC
1029 N BROADWAY
ESCONDIDO, CA 92026-3043
Phone number: 760-489-4126
Copy
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