SAM EZRA POTTER

CHULA VISTA, CA
NPI1396376109
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  124719)
Enumeration Date2020-01-30
Last Update Date2024-11-20
Business Address
SAM EZRA POTTER ASW
251 LANDIS AVE
CHULA VISTA, CA 91910-2628
Phone number: 619-515-2500
Mailing Address
SAM EZRA POTTER ASW
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300