Justin Potter, LICSW

NPI #1326838665 in Bloomington, Minnesota

Provider Information

NPI Number
1326838665
Entity Type
Individual
Name
Justin Potter, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
May 9, 2025
Last Updated
May 9, 2025

Practice Location

Address
1101 E 78TH ST STE 100
ZIP Code
55420-1402
Phone
(952) 854-5034

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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