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Organization
POTENTILLA THERAPY PLLC
Active
Organization
POTENTILLA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DILL LCSW (OWNER/LCSW)
(860) 309-5569
Entity
Organization
Contact information
Practice address
196 WOODLAND ST UNIT 1C, BRISTOL, CT 06010-5283
(860) 309-5569
Mailing address
83 BIRGE ST APT 7, TORRINGTON, CT 06790-5575
(860) 309-5569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
06/19/2025
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