Individual
SONIA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6970
Mailing address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6970
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
17192
WI
Other
Enumeration date
07/12/2014
Last updated
04/27/2017
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