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1679184147
MATTHEW CHRISTOPHER BRYAN
SANTA TERESA, NM
NPI
1679184147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM swb-2022-0411)
Enumeration Date
2020-08-10
Last Update Date
2023-07-27
Business Address
MATTHEW CHRISTOPHER BRYAN LCSW
185 OSPREY CT
SANTA TERESA, NM 88008-9502
Phone number: 915-873-5672
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Mailing Address
MATTHEW CHRISTOPHER BRYAN LCSW
185 OSPREY CT
SANTA TERESA, NM 88008-9502
Phone number: 915-873-5672
Copy
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