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MR. GARY DEAN MATTHIES LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1730359571

Individual Registrant:
MR. GARY DEAN MATTHIES LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
5401 WOODED GLEN  GRIZZLY FLATS, CA 95636 US
Tel: 530-642-1920  Fax: 530-642-1920

Contact information for business:
PO BOX 59  GRIZZLY FLATS, CA 95636 US
Tel: 530-642-1920  Fax: 530-642-1920

Registration Information:
NPI: 1730359571
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS14032

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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