Individual
MS. MAUREEN REEVES POTTER
Active
Individual
MS. MAUREEN REEVES POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IP579
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IP579
LCSW
TN
01
—
LDC0000000404
A & D COUNSELOR
TN
01
—
LPN0000016664
LIC. PRC. NURSE INACTIVE
TN
Enumeration date
03/02/2007
Last updated
07/08/2007
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