Individual
MATTHEW VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCM
Contact information
Practice address
60 S MAIN ST, TOOELE, UT 84074-2163
(435) 579-5648
Mailing address
60 S MAIN ST, TOOELE, UT 84074-2163
(435) 579-5648
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-112005
UT
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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