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Individual

AUTUMN MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-4573
Mailing address
16424 DELWOOD CT, DELHI, CA 95315-9531

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFTI 95821
CA

Other

Enumeration date
11/21/2016
Last updated
12/06/2016
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