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1306922687
PHYLLIS POTTER
BERKELEY, CA
NPI
1306922687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 5619)
Enumeration Date
2006-10-28
Last Update Date
2008-12-17
Business Address
-- PHYLLIS POTTER CSW
1553 SACRAMENTO ST
BERKELEY, CA 94702-1206
Phone number: 510-295-9605
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Mailing Address
-- PHYLLIS POTTER CSW
1553 SACRAMENTO ST
BERKELEY, CA 94702-1206
Phone number: 510-295-9605
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