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1912505249
MATTHEW BROAD
ROCHESTER, NY
NPI
1912505249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
221700000X Art Therapist
(Licence: NY 001375)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
Mr. MATTHEW BROAD LCAT
1 MUSTARD ST STE 240250
ROCHESTER, NY 14609-6980
Phone number: 585-451-0028
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Mailing Address
Mr. MATTHEW BROAD LCAT
227 S UNION ST
SPENCERPORT, NY 14559-1403
Phone number: 585-451-0028
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