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Individual

MS. CHRISTINE LYNNE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.W., L.A.P.S.W.

Contact information

Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4016
Mailing address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4016

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126469-121
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126469-121
SOCIAL WORK LICENSE NUMBER
WI
Enumeration date
09/18/2012
Last updated
09/18/2012
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