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Individual

MATTHEW BRIDGSTOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
12 W 100 N # 202A, AMERICAN FORK, UT 84003-1611
(801) 896-4389
(385) 313-0311
Mailing address
12 W 100 N # 202A, AMERICAN FORK, UT 84003-1611
(801) 380-5998
(385) 313-0311

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5593904-3501
UT

Other

Enumeration date
06/04/2014
Last updated
10/08/2020
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