Individual
KATHERYNE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W FIRE TOWER RD, B, WINTERVILLE, NC 28590-9475
(252) 632-0222
Mailing address
104 W FIRE TOWER RD, B, WINTERVILLE, NC 28590-9475
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17409
NC
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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