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1790539112
LEA POTTER
BRONX, NY
NPI
1790539112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 23724)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
LEA POTTER CASAC
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
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Mailing Address
LEA POTTER CASAC
79 GLENRIDGE RD
GLENVILLE, NY 12302-4528
Phone number: 518-952-8368
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