MR. Matthew Joseph Quackenbush, C.S.W.

NPI #1881146041 in Murray, Utah

Provider Information

NPI Number: 1881146041
Entity Type: Individual
Name: MR. Matthew Joseph Quackenbush, C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: C.S.W.
Enumeration Date: Nov 3, 2016
Last Updated: Nov 3, 2016

Practice Location

Address: 5288 S ALLENDALE DR
City: Murray
State: Utah
ZIP Code: 84123-4536
Phone: (801) 857-0790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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