Individual
GINGER L POTWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,BCC
Contact information
Practice address
11 N MAIN ST, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 728-4197
Mailing address
273 BRAINSTORM RD APT S2, BRAINTREE, VT 05060-4415
(802) 782-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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