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1891245429
MATTHEW SAMARCQ RIDGWAY
SANTA ROSA, CA
NPI
1891245429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 56523)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- MATTHEW SAMARCQ RIDGWAY
2403 PROFESSIONAL DR 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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Mailing Address
-- MATTHEW SAMARCQ RIDGWAY
2403 PROFESSIONAL DR 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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