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1881422236
MATTHEW JARED GRISSO
HAYWARD, CA
NPI
1881422236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10070)
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
MATTHEW JARED GRISSO SUDCC
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number: 510-886-8696
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Mailing Address
MATTHEW JARED GRISSO SUDCC
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number: 510-886-8696
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