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Individual

JESSICA CHRISTINE POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 E CHURCH ST, MASCOUTAH, IL 62258-2110
(618) 566-3100
Mailing address
212 W 4TH ST, O FALLON, IL 62269-2037
(316) 300-7813

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150114324
IL

Other

Enumeration date
06/30/2026
Last updated
06/30/2026
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