Individual
ELIZABETH NICOLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 EDEN SCHOOL RD, MORGANTOWN, KY 42261-8150
(270) 991-6152
Mailing address
137 EDEN SCHOOL RD, MORGANTOWN, KY 42261-8150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
162968
KY
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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