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1780171140
MATTHEW CHARLES MANCUSO
BAY PINES, FL
NPI
1780171140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 12529)
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
Mr. MATTHEW CHARLES MANCUSO MSW, LMSW
10000 BAY PINES BLVD
BAY PINES, FL 33744-8200
Phone number: 727-398-6661
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Mailing Address
Mr. MATTHEW CHARLES MANCUSO MSW, LMSW
4936 MIRAMAR DR UNIT 4205
MADEIRA BEACH, FL 33708-3397
Phone number: 845-641-2254
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