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1932835931
MATTHEW SCOTT MACLELLAN
FAIR OAKS, CA
NPI
1932835931
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Former Name
MATTHEW SCOTT CRISAMORE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
Mr. MATTHEW SCOTT MACLELLAN
4125 TEMESCAL ST STE A&C
FAIR OAKS, CA 95628-7558
Phone number: 916-877-6894
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Mailing Address
Mr. MATTHEW SCOTT MACLELLAN
4125 TEMESCAL ST STE A&C
FAIR OAKS, CA 95628-7558
Phone number: 916-877-6894
Copy
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