Individual
MOIRA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1489
(314) 952-2601
Mailing address
3166 ARKANSAS AVE APT D, SAINT LOUIS, MO 63118-2023
(314) 952-2601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019038244
MO
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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