DIANE POTRATZ

MEDFORD, OR
NPI1821339417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3061)
Enumeration Date2013-03-07
Last Update Date2016-06-09
Business Address
-- DIANE POTRATZ L.C.S.W
19 MYRTLE ST
MEDFORD, OR 97504-7337
Phone number: 541-773-3863
Mailing Address
-- DIANE POTRATZ L.C.S.W
19 MYRTLE ST
MEDFORD, OR 97504-7337
Phone number: 541-773-3863
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