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1487067781
MATTHEW BRIDGSTOCK
AMERICAN FORK, UT
NPI
1487067781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5593904-3501)
Enumeration Date
2014-06-04
Last Update Date
2020-10-08
Business Address
MATTHEW BRIDGSTOCK LCSW
12 W 100 N # 202A
AMERICAN FORK, UT 84003-1611
Phone number: 801-896-4389
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Mailing Address
MATTHEW BRIDGSTOCK LCSW
12 W 100 N # 202A
AMERICAN FORK, UT 84003-1611
Phone number: 801-380-5998
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