Individual
COURTNEY LYNN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
928 BROADWAY, NEW YORK, NY 10010-6008
(833) 775-6252
Mailing address
928 BROADWAY, NEW YORK, NY 10010-6008
(615) 499-6214
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120074
NY
Other
Enumeration date
10/03/2023
Last updated
10/04/2023
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