Individual
MR. JOHN ALBERT POTTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5208
(203) 630-5335
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10766
CT
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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