Individual
MR. MATTHEW JERALD SEELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
639 ROSE BLOSSOM DR, LAYTON, UT 84041-4258
(801) 824-5355
Mailing address
639 ROSE BLOSSOM DR, LAYTON, UT 84041-4258
(801) 824-5355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
49131003501
UT
Other
Enumeration date
09/18/2013
Last updated
01/18/2021
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