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1821466004
MATTHEW READ CORNISH
TAUNTON, MA
NPI
1821466004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1665)
Enumeration Date
2015-09-04
Last Update Date
2015-09-04
Business Address
Mr. MATTHEW READ CORNISH LADC I
66 MAIN ST
TAUNTON, MA 02780-2777
Phone number: 508-880-1598
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Mailing Address
Mr. MATTHEW READ CORNISH LADC I
10223 AVALON DR
WEYMOUTH, MA 02188-4641
Phone number: 617-595-7175
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