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1407065428
MATT LORD
SANTA MONICA, CA
NPI
1407065428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- MATT LORD
2701 OCEAN PARK BLVD STE 150
SANTA MONICA, CA 90405-5219
Phone number: 310-392-5855
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Mailing Address
-- MATT LORD
2701 OCEAN PARK BLVD STE 150
SANTA MONICA, CA 90405-5219
Phone number:
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