Individual
JANETTE MAE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LLP
Contact information
Practice address
1660 FORT ST, TRENTON, MI 48183-2003
(734) 304-4159
Mailing address
23400 ALLOR ST, SAINT CLAIR SHORES, MI 48082-1147
(586) 994-0772
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301007137
MI
Other
Enumeration date
11/06/2018
Last updated
04/13/2020
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