Individual
MR. ROBERT MICHAEL MATOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 778-6881
Mailing address
1783 W 4650 S APT X, ROY, UT 84067-3644
(801) 778-6881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3343053502
UT
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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