Individual
MARYANN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34406 N 27TH DR STE 140, PHOENIX, AZ 85085-6079
(802) 753-0406
Mailing address
34406 N 27TH DR STE 140, PHOENIX, AZ 85085-6079
(802) 753-0406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
09/22/2021
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