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Organization
MATRIX CONSULING INSTITUE
Active
Organization
MATRIX CONSULING INSTITUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BLANCA TAVERA LCSW (PRINCIPAL)
(831) 768-9398
Entity
Organization
Contact information
Practice address
1009 FREEDOM BLVD, WATSONVILLE, CA 95076-3263
(831) 768-9398
(831) 768-7014
Mailing address
1009 FREEDOM BLVD, WATSONVILLE, CA 95076-3263
(831) 768-9398
(831) 768-7014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 23796
CA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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