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Individual

MS. EBONIE DANIELLE POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 CAROLINA ST, GREENSBORO, NC 27401-1032
(336) 542-2060
Mailing address
4910 KOGER BLVD APT 3H, GREENSBORO, NC 27407-2794
(336) 254-6618

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16402
NC

Other

Enumeration date
03/25/2021
Last updated
03/25/2021
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