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Individual

DR. LORAL LEE PORTENIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
620 N CEDAR ST, STOCKTON, KS 67669-1326
(785) 425-7003
Mailing address
620 N CEDAR ST, STOCKTON, KS 67669-1326

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1081
MT

Other

Enumeration date
01/22/2014
Last updated
01/22/2014
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