FAYE PETERSON-POTTINGER

SOUTH BEND, IN
NPI1013965581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34003518)
Enumeration Date2006-05-05
Last Update Date2007-07-08
Business Address
-- FAYE PETERSON-POTTINGER LCSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
Mailing Address
-- FAYE PETERSON-POTTINGER LCSW
107 GRA ROY DR
GOSHEN, IN 46526-4706
Phone number: 574-533-3618
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