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1891134656
MATTHEW GRANT CRISP
LOS ANGELES, CA
NPI
1891134656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-06-14
Last Update Date
2013-06-14
Business Address
-- MATTHEW GRANT CRISP
425 S BROADWAY
LOS ANGELES, CA 90013-1102
Phone number: 310-846-5270
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Mailing Address
-- MATTHEW GRANT CRISP
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number:
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