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1245441476
MATTHEW DAVID
SANTA FE, NM
NPI
1245441476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0091351)
Enumeration Date
2007-05-28
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW DAVID LPCC
1807 2ND ST SUITE 44
SANTA FE, NM 87505-3499
Phone number: 505-984-5525
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Mailing Address
Mr. MATTHEW DAVID LPCC
PO BOX 207
CERRILLOS, NM 87010-0207
Phone number: 505-984-5525
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