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1730568320
MATTHEW MCCOY
LONGVIEW, WA
NPI
1730568320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60796310)
Enumeration Date
2015-05-28
Last Update Date
2020-10-30
Business Address
MATTHEW MCCOY SUDP
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-397-8228
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Mailing Address
MATTHEW MCCOY SUDP
PO BOX 2394
LONGVIEW, WA 98632
Phone number: 360-200-5419
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