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1811906324
BURK ROSSITER POTTER
OGDEN, UT
NPI
1811906324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5122815-3501)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- BURK ROSSITER POTTER LCSW
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3705
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Mailing Address
-- BURK ROSSITER POTTER LCSW
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3705
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