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Individual
M. GARSWA MATALLY
Active
Individual
M. GARSWA MATALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301001
KY
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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