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1811213622
MATTHEW RYAN MERBACK
CLEARFIELD, UT
NPI
1811213622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: UT 292638-6004)
Enumeration Date
2010-04-19
Last Update Date
2015-03-19
Business Address
Mr. MATTHEW RYAN MERBACK LPC
49 E 200 S
CLEARFIELD, UT 84015-1047
Phone number: 801-706-3034
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Mailing Address
Mr. MATTHEW RYAN MERBACK LPC
49 E 200 S
CLEARFIELD, UT 84015-1047
Phone number: 801-706-3034
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