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1093574030
MATTHEW BRADEN CALDWELL
BEAVER, WV
NPI
1093574030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-03-13
Last Update Date
2024-03-14
Business Address
MATTHEW BRADEN CALDWELL
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262
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Mailing Address
MATTHEW BRADEN CALDWELL
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262
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