Individual
MATTHEW GUY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 N 500 E, OREM, UT 84097-4831
(801) 471-4349
Mailing address
235 N 500 E, OREM, UT 84097-4831
(801) 471-4349
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4925418-3902
UT
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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