Provider Information for 1932426517
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Ms. KATHERINE JEANE POTTS LMSW
Sex: Female
NPI: 1932426517
Last Updated: 2022-04-08
Certification Date: 2022-04-08
Certification Date: 2022-04-08
Details
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NPI | 1932426517 | ||||||||
Enumeration Date | 2010-04-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1130 PARKER ST APT 116 DETROIT, MI 48214-2680 United States Phone: 734-855-9275 | Fax: | ||||||||
Primary Practice Address | 4081 CHESTER DR. YPSILANTI, MI 48197-1521 United States Phone: 734-855-9275 | Fax: | ||||||||
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