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Robert Matthew Shaffer

Social Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1932717469
StatusActive
Last updated in NPPESJul 21, 2020

Details

NPI
1932717469
Entity type
Individual (NPI-1)
Name
Robert Matthew Shaffer
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2020
Certification date
Jul 21, 2020
Last updated
Jul 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550

Phone 888-949-4864

Mailing address

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550

Phone 888-949-4864

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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