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Individual

MATTHEW CRAIG PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3299 ADAMS ST NE, D40, ALBUQUERQUE, NM 87110-8052
(505) 977-1464
Mailing address
3299 ADAMS ST NE, D40, ALBUQUERQUE, NM 87110-8052
(505) 977-1464

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/10/2014
Last updated
06/10/2014
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