MATTHEW C DODGE

SCOTTSBLUFF, NE
NPI1174737613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-328)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- MATTHEW C DODGE PLMHP
4110 AVENUE D
SCOTTSBLUFF, NE 69361-4650
Phone number: 308-635-3171
Mailing Address
-- MATTHEW C DODGE PLMHP
4110 AVENUE D
SCOTTSBLUFF, NE 69361-4650
Phone number: 308-635-3171
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