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Individual
MR. DELLMUS CHARLES PORTER JR.
Active
Individual
MR. DELLMUS CHARLES PORTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001677A
IN
Other
Enumeration date
04/13/2008
Last updated
04/13/2008
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