JERRY WARREN GROSHART

OGDEN, UT
NPI1962623884
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: UT  134361-3503)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Mr. JERRY WARREN GROSHART SSW
237 26TH STREET
OGDEN, UT 84401
Phone number: 801-778-6821
Mailing Address
Mr. JERRY WARREN GROSHART SSW
1051 ALLEN PEAK CIRCLE
OGDEN, UT 84404
Phone number: 801-399-1692
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