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1235126277
GLORIA ROSE POTTER
VALPARAISO, IN
NPI
1235126277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003809A)
Enumeration Date
2005-10-04
Last Update Date
2011-12-27
Business Address
-- GLORIA ROSE POTTER LCSW
660 MORTHLAND DR SUITE B
VALPARAISO, IN 46385-4637
Phone number: 219-464-0106
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Mailing Address
-- GLORIA ROSE POTTER LCSW
660 MORTHLAND DR SUITE B
VALPARAISO, IN 46385-4637
Phone number: 219-464-0106
Copy
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