Individual
TRACEY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 W HIGH ST STE 204, ELKTON, MD 21921-8611
(410) 620-0008
Mailing address
PO BOX 7356, LANCASTER, PA 17604-7356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21214
MD
Other
Enumeration date
06/19/2019
Last updated
05/04/2022
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