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1609582451
MATT MANCUSO
REDMOND, WA
NPI
1609582451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61386375)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
MATT MANCUSO LMHCA
7902 168TH AVE NE STE 101
REDMOND, WA 98052-4445
Phone number: 508-663-3852
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Mailing Address
MATT MANCUSO LMHCA
4107 236TH ST SW APT 208
MOUNTLAKE TERRACE, WA 98043-4986
Phone number: 334-790-8527
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