Individual
MS. THERESA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW LCSW
Contact information
Practice address
7202 NORTH SHADELAND AVENUE, SUITE 127, INDIANAPOLIS, IN 46250
(317) 849-9646
(317) 849-9651
Mailing address
7202 NORTH SHADELAND AVENUE, SUITE 127, INDIANAPOLIS, IN 46250
(317) 849-9646
(317) 849-9651
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34000816A
IN
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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