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1407496771
JOSHUA MATA
LOUISA, KY
NPI
1407496771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: 262570)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-01-14
Last Update Date
2022-10-10
Business Address
JOSHUA MATA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
JOSHUA MATA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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