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1396376109
SAM EZRA POTTER
CHULA VISTA, CA
NPI
1396376109
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 124719)
Enumeration Date
2020-01-30
Last Update Date
2024-11-20
Business Address
SAM EZRA POTTER ASW
251 LANDIS AVE
CHULA VISTA, CA 91910-2628
Phone number: 619-515-2500
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Mailing Address
SAM EZRA POTTER ASW
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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