EZEKIEL W BURNETT

ROOSEVELT, UT
NPI1952487068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  5239057-3501)
Enumeration Date2006-10-31
Last Update Date2007-07-08
Business Address
EZEKIEL W BURNETT LCSW
285 W 800 S
ROOSEVELT, UT 84066-3707
Phone number: 435-725-6300
Mailing Address
EZEKIEL W BURNETT LCSW
349 E 700 S # 11-15
ROOSEVELT, UT 84066-3432
Phone number: 435-725-6300
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