Individual
ASHLEY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 SALT SPRINGS RD, SYRACUSE, NY 13224-1639
(315) 446-6250
Mailing address
960 SALT SPRINGS RD, SYRACUSE, NY 13224-1639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105068
NY
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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