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1487906665
MICHAEL DAVID POTTER
TEMPLE, TX
NPI
1487906665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TX 12553)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
MR. MICHAEL DAVID POTTER LPC
3513 SW H K DODGEN LOOP SUITE NUMBER 106
TEMPLE, TX 76502-8009
Phone number: 254-778-4673
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Mailing Address
MR. MICHAEL DAVID POTTER LPC
1703 FOGGY GLEN CV
AUSTIN, TX 78733-1541
Phone number: 512-263-3715
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