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Individual
MR. MATTHEW HARRINGTON DISBROW
Active
Individual
MR. MATTHEW HARRINGTON DISBROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW CACIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4185
CO
1041C0700X
Clinical Social Worker
Primary
992227
CO
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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