Individual
JULIANNA MARIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115
(385) 468-4512
Mailing address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9085327-3502
UT
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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