Individual
RUSSELL ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2317 N HILL FIELD RD, STE 103, LAYTON, UT 84041-4781
(801) 525-4645
Mailing address
2317 N HILL FIELD RD, STE 103, LAYTON, UT 84041-4781
(801) 525-4645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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