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1790218196
MARK MATTHEWS
ZACHARY, LA
NPI
1790218196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-04-04
Last Update Date
2018-05-15
Business Address
MARK MATTHEWS
1233 E MOUNT PLEASANT RD APT 504
ZACHARY, LA 70791
Phone number: 225-361-4723
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Mailing Address
MARK MATTHEWS
1233 E MOUNT PLEASANT RD APT 504
ZACHARY, LA 70791-5928
Phone number: 225-361-4723
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