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1639229511
CARMEN PHILLIP MASULLO
WAKE FOREST, NC
NPI
1639229511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C003315)
Enumeration Date
2007-01-11
Last Update Date
2013-10-07
Business Address
-- CARMEN PHILLIP MASULLO LCSW
1331 WAIT AVE
WAKE FOREST, NC 27587-6985
Phone number: 919-556-5407
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Mailing Address
-- CARMEN PHILLIP MASULLO LCSW
1331 WAIT AVENUE
WAKE FOREST, NC 27587-6985
Phone number: 919-556-5407
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