Individual
BILL R. MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4055 S 700 E, SUITE 102, SALT LAKE CITY, UT 84107-2174
(810) 450-8508
(801) 272-1002
Mailing address
PO BOX 171166, SALT LAKE CITY, UT 84117-1166
(801) 450-8508
(801) 272-1002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
973107023501
UT
Other
Enumeration date
12/15/2005
Last updated
06/04/2014
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