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1518484500
MATTHEW WATERBURY
LOS ANGELES, CA
NPI
1518484500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-08-29
Last Update Date
2018-03-17
Business Address
MATTHEW WATERBURY RADT - IN PROGRESS
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
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Mailing Address
MATTHEW WATERBURY RADT - IN PROGRESS
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
Copy
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