Individual
LYNN M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
285 HANA HWY, PAIA, HI 96779-9746
(732) 299-7192
Mailing address
417 MONMOUTH AVE, BRADLEY BEACH, NJ 07720-1148
(732) 775-8590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC04706900
NJ
1041C0700X
Clinical Social Worker
Primary
LCSW-3974
HI
Other
Enumeration date
11/30/2006
Last updated
11/24/2024
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