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1548031164
MAURO LUCIO DEFREITAS ROBERTO
PHILADELPHIA, PA
NPI
1548031164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
MAURO LUCIO DEFREITAS ROBERTO MHP
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124-2644
Phone number: 215-744-4343
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Mailing Address
MAURO LUCIO DEFREITAS ROBERTO MHP
6317 NEWTOWN AVE
PHILADELPHIA, PA 19111-5608
Phone number: 267-296-6354
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