Organization
KALYNN G. POTTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALYNN POTTER (SELF EMPLOYED)
(248) 563-1743
Entity
Organization
Contact information
Practice address
945 S ROCHESTER RD, SUITE 101, ROCHESTER HILLS, MI 48307-2762
(248) 434-8227
Mailing address
2907 ADDISON CIR S, ROCHESTER HILLS, MI 48306-4924
(248) 563-1743
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401011359
MI
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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