Individual
BURK ROSSITER POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3705
(801) 625-3690
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3705
(801) 625-3690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5122815-3501
UT
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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