Organization
CLIFTON R UCKERMAN LCSW
Active
Other names
Outpatient Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON R UCKERMAN LCSW (OWNER)
(801) 707-8235
Entity
Organization
Contact information
Practice address
140 W 2100 S STE 110, SALT LAKE CITY, UT 84115-1855
(801) 382-8259
Mailing address
255 N 400 W APT 2022, SALT LAKE CITY, UT 84103-1399
(801) 707-8235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
10/11/2023
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