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Individual

CORRINE POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMH-NP

Contact information

Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
650 LINCOLN ST, WORCESTER, MA 01605-2060

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2266298
MA

Other

Enumeration date
10/04/2016
Last updated
03/21/2018
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