Individual
MARTHA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
308 CLEVELAND AVE, SUITE 312, ISHPEMING, MI 49849-1845
(906) 458-4174
Mailing address
1001 N 3RD ST, ISHPEMING, MI 49849-1105
(906) 458-4174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L499514
MI
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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