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1114611100
BRYANNA POTTER
LAWRENCEVILLE, IL
NPI
1114611100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
BRYANNA POTTER
2101 JAMES ST
LAWRENCEVILLE, IL 62439-2027
Phone number: 618-943-3302
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Mailing Address
BRYANNA POTTER
2101 JAMES ST
LAWRENCEVILLE, IL 62439-2027
Phone number: 618-943-3302
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