Individual
ANNABELL ROSS POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
12 CREST AVE, RICHMOND, CA 94801-4029
(507) 313-4129
Mailing address
12 CREST AVE, RICHMOND, CA 94801-4029
(507) 313-4129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105145
CA
Other
Enumeration date
08/24/2015
Last updated
09/30/2024
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