Theresa C Potente LCSW

NPI 1912069667 - Social Worker - 1041C0700X

NPI Details
NPI 1912069667
Gender Female
Enumeration Date 12/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
920 60TH ST
KENOSHA WI, 53140-4041, US
Phone (262) 654-5333
Fax (262) 654-7818
Business Location
920 60TH ST
KENOSHA WI, 53140-4041, US
Phone (262) 654-5333
Fax (262) 654-7818
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 2933-123
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According to our database, Theresa C Potente LCSW NPI is 1912069667, taxonomy code is 1041C0700X and license number is 2933-123, license state is located at Wisconsin. Theresa C Potente LCSW physically located at 920 60th St, Kenosha WI, 53140-4041. NPI Number Theresa C Potente LCSW has the Individual type.

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1912069667 NPI number is provided on an as is basis without warranty of any kind. 1912069667 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa C Potente LCSW are for informational purposes only.