Organization
MASTER POTTER INC.
Active
Parent organization
MASTER POTTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASTER POTTER INC.
Authorized official
MRS. SYLVANA I KWENTUA (CLINICAL SOCIAL WORKER)
(301) 675-6153
Entity
Organization
Contact information
Practice address
11302 POLARIS DR, UPPER MARLBORO, MD 20774-3539
(301) 675-6153
Mailing address
11302 POLARIS DR, UPPER MARLBORO, MD 20774
(301) 675-6153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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