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Individual

EVIANNE CHANEL POTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 9TH AVE NE STE 300, SEATTLE, WA 98105-4762
(206) 234-6932
Mailing address
1221 MINOR AVE APT 104, SEATTLE, WA 98101-2809
(530) 410-9740

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106S00000X
Behavior Technician

Other

Enumeration date
06/12/2019
Last updated
08/26/2022
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