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1023873825
MATTHEW K GILLIKEN
CARMICHAEL, CA
NPI
1023873825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17204)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
MATTHEW K GILLIKEN
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
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Mailing Address
MATTHEW K GILLIKEN
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
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