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Individual

NEAL Z. POTASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-5789
(262) 284-5907
Mailing address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-5789
(262) 284-5907

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PENDING
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43557600
WI
Enumeration date
02/06/2007
Last updated
07/08/2007
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