Individual
KEONA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2001 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-5003
(561) 841-3500
Mailing address
2900 N MAIN ST, BELLE GLADE, FL 33430-5300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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