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1952607608
MARIO HIPOLITO IRIGOYEN
ENGLEWOOD, NJ
NPI
1952607608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NJ 44SC05377600)
Enumeration Date
2011-01-27
Last Update Date
2011-09-05
Business Address
MR. MARIO HIPOLITO IRIGOYEN LCSW
61 GRAND AVE
ENGLEWOOD, NJ 07631-3572
Phone number: 914-671-3924
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Mailing Address
MR. MARIO HIPOLITO IRIGOYEN LCSW
61 GRAND AVE
ENGLEWOOD, NJ 07631-3572
Phone number: 914-671-3924
Copy
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