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1215586672
MATTHEW P ERICKSON
LOGAN, UT
NPI
1215586672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 321034-3501)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
MATTHEW P ERICKSON LCSW
1683 S HIGHWAY 89 # 91
LOGAN, UT 84321-6212
Phone number: 435-755-8400
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Mailing Address
MATTHEW P ERICKSON LCSW
PO BOX 3662
LOGAN, UT 84323-3662
Phone number: 435-755-8400
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