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1225303985
MATTHEW DAVID WATERS
OMAHA, NE
NPI
1225303985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NE P-1013)
Enumeration Date
2012-03-14
Last Update Date
2012-03-14
Business Address
MATTHEW DAVID WATERS AAS, PLADC
2808 N 75TH ST
OMAHA, NE 68134-6861
Phone number: 402-932-2248
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Mailing Address
MATTHEW DAVID WATERS AAS, PLADC
2808 N 75TH ST
OMAHA, NE 68134-6861
Phone number: 402-932-2248
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