Individual
AMANDA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5380 MAXWELTON RD, LANGLEY, WA 98260-9521
(360) 221-4800
Mailing address
6619 MAXWELTON RD, CLINTON, WA 98236-8608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60628635
WA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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