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1316477664
MATTHEW FRIEND AUSFAHL
VALLEJO, CA
NPI
1316477664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-19
Last Update Date
2018-06-16
Business Address
Mr. MATTHEW FRIEND AUSFAHL
1628 BROADWAY ST STE A
VALLEJO, CA 94590-2405
Phone number: 707-649-8300
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Mailing Address
Mr. MATTHEW FRIEND AUSFAHL
2955 SANTOS LN APT 206
WALNUT CREEK, CA 94597-7548
Phone number: 925-389-7700
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