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1316668080
MATTHEW THOMAS LUCIANO
SAN DIEGO, CA
NPI
1316668080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 33510)
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
Dr. MATTHEW THOMAS LUCIANO Ph.D.
3975 ARIZONA ST
SAN DIEGO, CA 92104-8800
Phone number: 607-229-2384
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Mailing Address
Dr. MATTHEW THOMAS LUCIANO Ph.D.
PO BOX 34581
SAN DIEGO, CA 92163-4581
Phone number: 619-356-1477
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