Individual
BETHANY POTTRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
908 20TH ST S, CCB 4TH FL, BIRMINGHAM, AL 35205-2610
(205) 934-9648
Mailing address
1720 2ND AVE S, CCB 4TH FL, BIRMINGHAM, AL 35294-2050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4064C
AL
Other
Enumeration date
07/01/2015
Last updated
09/06/2017
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