Jerry Utt's National Provider Identifier (NPI) Details
Jerry Utt, LCSW
NPI: 1659553832
Enumeration Date: 2007-11-29
Last updated: 2007-11-29
Sole Proprietor: YES
Status: active
Postal Address: 301 EAST PARKER STREET, KINGS MOUNTAIN, NC
Phone: 704-730-1591
Primary Practice Address: 301 EAST PARKER STREET, KINGS MOUNTAIN, NC
Practice's phone: 704-730-1591