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Organization
FULL POTENTIAL THERAPY, P LLC
Active
Organization
FULL POTENTIAL THERAPY, P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN WILD RIOUX LICSW (MENTAL HEALTH THERAPIST/ OWNER)
(617) 990-6887
Entity
Organization
Contact information
Practice address
262 ESSEX ST, SALEM, MA 01970-3452
(617) 990-6887
(617) 819-8063
Mailing address
11 STEARNS ST, SWAMPSCOTT, MA 01907-1428
(617) 990-6887
(617) 819-8063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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