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1093351017
HEIDI POTTER
VENICE, CA
NPI
1093351017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16489)
Enumeration Date
2019-11-25
Last Update Date
2024-12-10
Business Address
HEIDI POTTER SUDRC
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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Mailing Address
HEIDI POTTER SUDRC
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
Copy
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