Individual
THOMAS W POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
207 COVENTRY LN, FORT GIBSON, OK 74434-7815
(918) 429-5940
Mailing address
207 COVENTRY LN, FORT GIBSON, OK 74434-7815
(918) 429-5940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3197
OK
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
03/06/2026
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