THERESA C POTENTE

KENOSHA, WI
NPI1912069667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  2933-123)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- THERESA C POTENTE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333
Mailing Address
-- THERESA C POTENTE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333