Potter, Gloria Rose

Potter, Gloria Rose is an individual health care provider with primary practice located at 660 Morthland Dr Suite B, Valparaiso IN 46385-4637. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Potter, Gloria Rose can be contacted via phone (219) 464-0106.

Contact Information

Primary practice address
660 Morthland Dr Suite B Valparaiso IN 46385-4637
Phone: (219) 464-0106
Fax: (219) 462-7826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34003809A Indiana

Profile Details

NPI number 1235126277
LBN Legal business name Potter, Gloria Rose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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