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1912069667
THERESA C POTENTE
KENOSHA, WI
NPI
1912069667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 2933-123)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
THERESA C POTENTE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333
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Mailing Address
THERESA C POTENTE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333
Copy
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