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Individual
DAVID A PORTER
Active
Individual
DAVID A PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000378
VT
Other
Enumeration date
02/21/2006
Last updated
05/14/2010
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