Individual
AMANDA CLAIRE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11212 NE 112TH ST, KIRKLAND, WA 98033-4520
(425) 936-2510
Mailing address
129 168TH AVE NE, BELLEVUE, WA 98008-4536
(509) 961-3163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004420
WA
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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