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1952874398
MATTHEW STEPHEN MINTZ
UPLAND, CA
NPI
1952874398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci07670517)
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
MATTHEW STEPHEN MINTZ CADC-I
934 N MOUNTAIN AVE STE C
UPLAND, CA 91786-3659
Phone number: 909-949-4667
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Mailing Address
MATTHEW STEPHEN MINTZ CADC-I
934 N MOUNTAIN AVE STE C
UPLAND, CA 91786-3659
Phone number: 909-949-4667
Copy
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