Individual
JAMIE RAE POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7N180 NANCY LN, ST CHARLES, IL 60175-9705
(847) 890-9164
Mailing address
7N180 NANCY LN, ST CHARLES, IL 60175-9705
(847) 890-9164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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