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Organization

LISA ANN POTTER

Active
Other names
Great Start Early Intervention Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA ANN POTTER DEVELOPMENTAL INTERV (SOLE PROPRIETOR)
(606) 836-0606
Entity
Organization

Contact information

Practice address
70 POPPY DR, ASHLAND, KY 41102-7955
(606) 836-0606
(606) 836-0612
Mailing address
70 POPPY DR, ASHLAND, KY 41102-7955
(606) 836-0606
(606) 836-0612

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1712
KY

Other

Enumeration date
04/11/2007
Last updated
06/19/2008
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