Individual
PROF. PATRICIA DENA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3542 CHARLES DR, NEW CARLISLE, OH 45344-9103
(937) 260-7238
Mailing address
3542 CHARLES DR, NEW CARLISLE, OH 45344-9103
(937) 260-7238
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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