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Matt Peterson
NPI 1407274897 · on the registry since 2014
Practice
- Address
- 4646 S 3500 W Ste 1
West Haven, UT 84401 - Phone
- (801) 896-7146
- Organisation at this address
- Borage Wellness Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah