SAM EZRA POTTER

FAIRFIELD, CA
NPI1396376109
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  124719)
Enumeration Date2020-01-30
Last Update Date2024-11-13
Business Address
SAM EZRA POTTER ASW
801 JEFFERSON ST STE 3&45&6
FAIRFIELD, CA 94533-5557
Phone number: 707-720-3869
Mailing Address
SAM EZRA POTTER ASW
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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