Wade Bailey Potter
NPI #1053033266 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1053033266
- Entity Type
- Individual
- Name
- Wade Bailey Potter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 2548 E KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-6712
- Phone
- (918) 355-0993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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