Individual
ERICA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2522
(706) 494-7776
(706) 494-7076
Mailing address
908 LAKE RUSHIN DR, COLUMBUS, GA 31907-5025
(706) 562-1209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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