Individual
MATTHEW JOSEPH EDRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 N 400 E STE 104, NORTH LOGAN, UT 84341-7595
(435) 755-6061
(435) 755-6091
Mailing address
517 W 100 N STE 210, PROVIDENCE, UT 84332-9826
(435) 755-6061
(435) 994-8362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
10834612-3501
UT
1041C0700X
Clinical Social Worker
Primary
10834612-3501
UT
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
11/26/2012
Last updated
11/22/2022
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