Individual
GLORIA ROSE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
660 MORTHLAND DR, SUITE B, VALPARAISO, IN 46385-4637
(219) 464-0106
(219) 462-7826
Mailing address
660 MORTHLAND DR, SUITE B, VALPARAISO, IN 46385-4637
(219) 464-0106
(219) 462-7826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003809A
IN
Other
Enumeration date
10/04/2005
Last updated
12/27/2011
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