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
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-1402
- Phone
- (952) 854-5034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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