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1790103372
MATTHEW LONGORIA
RESEDA, CA
NPI
1790103372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-01
Last Update Date
2018-12-07
Business Address
MATTHEW LONGORIA CADC-II, CDS
6956 BERTRAND AVE
RESEDA, CA 91335-4708
Phone number: 818-654-4907
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Mailing Address
MATTHEW LONGORIA CADC-II, CDS
6956 BERTRAND AVE
RESEDA, CA 91335-4708
Phone number: 818-654-4907
Copy
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