Individual
MR. DALE JAMES POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Mailing address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6401010668
MI
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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