MATTHEW JOSEPH QUACKENBUSH

MURRAY, UT
NPI1881146041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  10148006-3506)
Enumeration Date2016-11-03
Last Update Date2016-11-03
Business Address
MR. MATTHEW JOSEPH QUACKENBUSH C.S.W.
5288 S ALLENDALE DR
MURRAY, UT 84123-4536
Phone number: 801-857-0790
Mailing Address
MR. MATTHEW JOSEPH QUACKENBUSH C.S.W.
5288 S ALLENDALE DR
MURRAY, UT 84123-4536
Phone number: 801-857-0790
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