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1417799321
MATTHEW DAVID HALL
VENICE, CA
NPI
1417799321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1557560424)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
Mr. MATTHEW DAVID HALL R1557560424
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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Mailing Address
Mr. MATTHEW DAVID HALL R1557560424
240 E IVY AVE APT 1
INGLEWOOD, CA 90302-4945
Phone number: 747-215-4378
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