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Individual
MR. BRAD ALEXANDER MATTHEWS
Active
Individual
MR. BRAD ALEXANDER MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12566979-3502
UT
1041C0700X
Clinical Social Worker
Primary
12566979-3501
UT
Other
Enumeration date
09/13/2012
Last updated
08/13/2026
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