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Organization
PIVOTS POTENTIAL LLC
Active
Organization
PIVOTS POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA LYNNE PENN-LEON LSCW (EXECUTIVE OFFICER)
(240) 457-9505
Entity
Organization
Contact information
Practice address
33 W FRANKLIN ST STE 201, HAGERSTOWN, MD 21740-4863
(888) 458-5199
(240) 337-8598
Mailing address
13606 WOODLAND HEIGHTS DR, HAGERSTOWN, MD 21742-2380
(888) 458-5199
(240) 337-8598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
07/07/2025
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