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1578276036
MATTHEW DONALD ROUGHAN
PROVO, UT
NPI
1578276036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 12941291-3904)
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
Mr. MATTHEW DONALD ROUGHAN MS MFT
5314 RIVER RUN DR STE 350
PROVO, UT 84604-7708
Phone number: 817-787-9855
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Mailing Address
Mr. MATTHEW DONALD ROUGHAN MS MFT
1368 E 440 N
PROVO, UT 84606-5127
Phone number: 509-989-7869
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