Individual
MISS JAMIE ELIZABETH POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
326 HIGHLAND AVE, WATERBURY, CT 06708-3021
(203) 597-1906
Mailing address
123 POVERTY RD, SOUTHBURY, CT 06488-2253
(203) 206-6609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3866
CT
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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