Destiny Leeanne Pottebaum, MSW

NPI #1255032017 in New Haven, Missouri

Provider Information

NPI Number
1255032017
Entity Type
Individual
Name
Destiny Leeanne Pottebaum, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
MSW
Enumeration Date
Mar 16, 2023
Last Updated
Mar 16, 2023

Practice Location

Address
917 MILLER ST
ZIP Code
63068-1192
Phone
(636) 357-0937

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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