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Individual
MR. MICHAEL EDGAR PORTER
Active
Individual
MR. MICHAEL EDGAR PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6890665-6006
UT
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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