Individual
MRS. KAREN SCUTT POTENZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
196 ALLEN AVE, CASCO BAY HIGH SCHOOL, PORTLAND, ME 04103-3711
(207) 939-4369
Mailing address
480 ROYAL RD, NORTH YARMOUTH, ME 04097-6911
(207) 939-4369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6116
ME
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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