Individual
MRS. ELIZABETH RENEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ELDON R-I, 112 S PINE ST, ELDON, MO 65026-1581
(573) 392-8003
(573) 392-8080
Mailing address
112 S PINE ST, ELDON, MO 65026-1581
(573) 392-8003
(573) 392-8080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002014290
MO
Other
Enumeration date
11/19/2007
Last updated
02/19/2009
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