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1881146041
MATTHEW JOSEPH QUACKENBUSH
MURRAY, UT
NPI
1881146041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10148006-3506)
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business 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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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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