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1174002711
SUSANA POTTER
DAVIE, FL
NPI
1174002711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16172)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
SUSANA POTTER LMHC
11913 SW 13TH CT
DAVIE, FL 33325
Phone number: 786-402-7078
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Mailing Address
SUSANA POTTER LMHC
11913 SW 13TH CT
DAVIE, FL 33325
Phone number: 786-402-7078
Copy
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