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1477992808
MATTHEW PATRICK MCCAULEY
PLYMOUTH, MN
NPI
1477992808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302288)
Enumeration Date
2013-06-19
Last Update Date
2013-06-19
Business Address
-- MATTHEW PATRICK MCCAULEY LADC
115 FORESTVIEW LN N
PLYMOUTH, MN 55441-5910
Phone number: 763-546-8008
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Mailing Address
-- MATTHEW PATRICK MCCAULEY LADC
115 FORESTVIEW LN N
PLYMOUTH, MN 55441-5910
Phone number: 763-546-8008
Copy
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