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1407303290
MATTHEW SPELLMAN
WEST HOLLYWOOD, CA
NPI
1407303290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1229940516)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
-- MATTHEW SPELLMAN RADT-I
8440 FOUNTAIN AVE APT 302
WEST HOLLYWOOD, CA 90069-2555
Phone number: 949-438-8771
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Mailing Address
-- MATTHEW SPELLMAN RADT-I
8440 FOUNTAIN AVE APT 302
WEST HOLLYWOOD, CA 90069-2555
Phone number: 949-438-8771
Copy
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