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Individual

DENNIS POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW CSW

Contact information

Practice address
3351 CLAYSTONE SE, STE 212, GRAND RAPIDS, MI 49546-5781
(616) 954-1992
(616) 954-1998
Mailing address
3351 CLAYSTONE SE, STE 212, GRAND RAPIDS, MI 49546-5781
(616) 954-1992
(616) 954-1998

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801011947
MI

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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