Individual
MR. CARL LEWIS POTTER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5003 SOUTHPARK DR, SUITE 100, DURHAM, NC 27713-9414
(919) 493-6329
Mailing address
207 N SIXTH ST, MEBANE, NC 27302-2207
(919) 304-5614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003834
NC
Other
Enumeration date
10/12/2006
Last updated
07/09/2007
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