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1740332535
KEITH MUMBLO
SPRINGFIELD, MA
NPI
1740332535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 112262)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Mr. KEITH MUMBLO MSW
622 STATE ST
SPRINGFIELD, MA 01109-4104
Phone number: 413-439-1200
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Mailing Address
Mr. KEITH MUMBLO MSW
67 DERRYFIELD AVE
SPRINGFIELD, MA 01118-1322
Phone number: 413-796-4943
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