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1679777072
SHANIQUA POTTER
LOUISVILLE, KY
NPI
1679777072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-06-12
Last Update Date
2014-12-09
Business Address
-- SHANIQUA POTTER
708 MAGAZINE ST
LOUISVILLE, KY 40203-2043
Phone number: 502-589-8926
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Mailing Address
-- SHANIQUA POTTER
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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