Individual
MARNE POTOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1582 N ELLIOTT ST, COQUILLE, OR 97423-1429
(248) 752-5114
Mailing address
1582 N ELLIOTT ST, COQUILLE, OR 97423-1429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
09/06/2024
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