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1730878737
MATTHEW MAYA
SALT LAKE CITY, UT
NPI
1730878737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11526399-3501)
Enumeration Date
2023-05-04
Last Update Date
2024-06-17
Business Address
MATTHEW MAYA
350 E 400 S
SALT LAKE CITY, UT 84111-2993
Phone number: 801-699-1759
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Mailing Address
MATTHEW MAYA
350 E 400 S
SALT LAKE CITY, UT 84111-2993
Phone number:
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