KEITH MUMBLO

SPRINGFIELD, MA
NPI1740332535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  112262)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Mr. KEITH MUMBLO MSW
622 STATE ST
SPRINGFIELD, MA 01109-4104
Phone number: 413-439-1200
Mailing Address
Mr. KEITH MUMBLO MSW
67 DERRYFIELD AVE
SPRINGFIELD, MA 01118-1322
Phone number: 413-796-4943