Individual
MATTE BAKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 E 3375 S, SALT LAKE CITY, UT 84106-1536
(801) 580-4039
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
(801) 322-2831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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