Individual
MRS. GINA MARIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2345 S LYNHURST DR, INDIANAPOLIS, IN 46241-8630
(317) 247-8900
(317) 247-8938
Mailing address
2345 S LYNHURST DR, INDIANAPOLIS, IN 46241-8630
(317) 247-8900
(317) 247-8938
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
99052084A
IN
Other
Enumeration date
07/16/2012
Last updated
07/17/2012
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