Individual
ERIC POULSEN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
2900 S STATE ST STE 101, SALT LAKE CITY, UT 84115-3891
(801) 983-5540
(801) 983-5542
Mailing address
PO BOX 521207, SALT LAKE CITY, UT 84152-1207
(801) 983-5540
(801) 983-5542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
266604-3502
UT
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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