Individual
AMANDA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
34 SCHOOL ST, SUITE 104, FOXBORO, MA 02035-2339
(508) 543-3411
Mailing address
24 REED AVE, NORTH ATTLEBORO, MA 02760-1912
(401) 525-0576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117485
MA
Other
Enumeration date
10/24/2015
Last updated
09/05/2018
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