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1407274897
MATT PETERSON
WEST HAVEN, UT
NPI
1407274897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 3107140-3501)
Enumeration Date
2014-04-02
Last Update Date
2024-05-16
Business Address
MATT PETERSON
4646 S 3500 W STE 1
WEST HAVEN, UT 84401-9406
Phone number: 801-896-7146
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Mailing Address
MATT PETERSON
PO BOX 209
ROY, UT 84067-0209
Phone number: 801-896-7146
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