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ETHAN POTTER, LCSW

LCSW

Clinical Social Worker

NPI: 1275188799IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

2021024924(MO)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2019

Contact & Hours

Address
1722 S GLENSTONE AVE STE H
SPRINGFIELD, MO 65804

Quick Facts

NPI
1275188799
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
7

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