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1609868439
MARY AGNES MANTILLA
POUGHKEEPSIE, NY
NPI
1609868439
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Former Name
MARY A. TOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 068980-1)
Enumeration Date
2005-08-18
Last Update Date
2017-03-30
Business Address
-- MARY AGNES MANTILLA LCSW
3 NEPTUNE RD STE A18F
POUGHKEEPSIE, NY 12601-5500
Phone number: 845-549-8223
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Mailing Address
-- MARY AGNES MANTILLA LCSW
3 NEPTUNE RD STE A18F
POUGHKEEPSIE, NY 12601-5500
Phone number: 845-549-8223
Copy
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