Individual
MR. EARL ROSS POTEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
117 FAIRWAY VLG, PUEBLO WEST, CO 81007-3621
(303) 908-8623
Mailing address
117 FAIRWAY VLG, PUEBLO WEST, CO 81007-3621
(303) 908-8623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-1809
CO
Other
Enumeration date
03/18/2011
Last updated
12/06/2011
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