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1992327902
KEVIN JOSEPH MATAWA
WOOD RIDGE, NJ
NPI
1992327902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00718300)
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
Mr. KEVIN JOSEPH MATAWA MA, LPC
450 HIGHLAND AVE
WOOD RIDGE, NJ 07075-1212
Phone number: 551-246-1502
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Mailing Address
Mr. KEVIN JOSEPH MATAWA MA, LPC
450 HIGHLAND AVE
WOOD RIDGE, NJ 07075-1212
Phone number: 551-246-1502
Copy
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