Individual
MATTHEW SIMON WINSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 E OAK ST, FORT BRAGG, CA 95437-3610
(707) 345-4012
(844) 388-6167
Mailing address
101 N FRANKLIN ST, FORT BRAGG, CA 95437-3602
(707) 961-0172
(844) 388-6167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC41677
CA
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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