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Individual
ROBERT JAMES PORTA
Active
Individual
ROBERT JAMES PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 12249
CA
1041C0700X
Clinical Social Worker
Primary
25125
CA
1041C0700X
Clinical Social Worker
ASW 12249
CA
Other
Enumeration date
01/08/2007
Last updated
11/08/2019
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