PAUL MATTHEW BRYDE

TUCSON, AZ
NPI1639312549
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-0914)
Enumeration Date2009-04-08
Last Update Date2009-04-08
Business Address
-- PAUL MATTHEW BRYDE LISAC-0914
1290 W ELKO ST
TUCSON, AZ 85704-2445
Phone number: 520-444-9733
Mailing Address
-- PAUL MATTHEW BRYDE LISAC-0914
1290 W ELKO ST
TUCSON, AZ 85704-2445
Phone number: