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1619401817
MATTHEW DE FELICE
LONG BEACH, CA
NPI
1619401817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- MATTHEW DE FELICE
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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Mailing Address
-- MATTHEW DE FELICE
1135 DAWSON AVE APT 9
LONG BEACH, CA 90804-7238
Phone number: 562-206-4508
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