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Individual
PAULA J. POTVIN
Active
Individual
PAULA J. POTVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1015334
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015334
LICSW
MA
Enumeration date
01/08/2018
Last updated
06/16/2018
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