Individual
MATHEW EDVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
9263 S REDWOOD RD BLDG 8, WEST JORDAN, UT 84088-6571
(801) 566-0749
Mailing address
3030 W GREAT PASTURE RD, WEST JORDAN, UT 84088-5339
(801) 831-0234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6671459-3502
UT
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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