EZEKIEL W BURNETT CSW

CENTRAL UTAH COUNSELING CENTER

Dr EZEKIEL W BURNETT CSW is a male medical professional, specializing in Clinical Social Worker. He graduated in 2002.

Contact

CENTRAL UTAH COUNSELING CENTER

152 N 400
EPHRAIM
UT
846275549

Tel: 4352838400

EZEKIEL W BURNETT CSW Information

Npi 1952487068
Pac Id 4688613409
Professional Enrollment Id I20050429000808
Last Name BURNETT
First Name EZEKIEL
Middle Name W
Suffix
Gender M
Credential CSW
Medical School Name OTHER
Graduation Year 2002
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CENTRAL UTAH COUNSELING CENTER
Group Practice Pac Id 6305743618
Number Of Group Practice Members 9
Line 1 Street Address 152 N 400
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EPHRAIM
State UT
Zip Code 846275549
Phone Number 4352838400
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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