Individual
CARMEN JAYLON POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 OAK CLUSTER DR, SEVIERVILLE, TN 37862-6079
(865) 429-0557
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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