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Organization
POTENTIALS, LLC
Active
Organization
POTENTIALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY CHAMBERS LCSW (PARTNER)
(910) 254-4545
Entity
Organization
Contact information
Practice address
2505 S 17TH ST STE 200, WILMINGTON, NC 28401-7992
(910) 254-4545
Mailing address
2505 S 17TH ST STE 200, WILMINGTON, NC 28401-7992
(910) 254-4545
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/20/2024
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