KIRBY IAN POTTER

SYRACUSE, UT
NPI1275746950
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  113382-3501)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Mr. KIRBY IAN POTTER L.C.S.W.
1747 HERITAGE LN SUITE B - 103
SYRACUSE, UT 84075-8552
Phone number: 801-525-6975
Mailing Address
Mr. KIRBY IAN POTTER L.C.S.W.
1747 HERITAGE LN SUITE B - 103
SYRACUSE, UT 84075-8552
Phone number: 801-525-6975
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