Individual
MS. DENISE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1591 ROBERT J CONLAN BLVD NE, S-128, PALM BAY, FL 32905-3564
(321) 837-7500
(321) 837-7516
Mailing address
1591 ROBERT J CONLAN BLVD NE, S-128, PALM BAY, FL 32905-3564
(321) 837-7500
(321) 837-7516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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