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1104363068
MATTHEW GREENE
GLENDALE, AZ
NPI
1104363068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-01-30
Last Update Date
2020-09-30
Business Address
MATTHEW GREENE (M.S.)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Phone number: 623-638-0138
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Mailing Address
MATTHEW GREENE (M.S.)
12587 W GENTLE RAIN RD
PEORIA, AZ 85383-7226
Phone number: 530-209-2142
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