Individual
PAULOMI DAVE-POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
500 KENDALL STREET, CAMBRIDGE, MA 02142
(617) 768-6639
(508) 661-8880
Mailing address
14 FAIRFAX STREET, SOMERVILLE, MA 02144
(617) 768-6639
(508) 661-8880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114339
MA
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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