Individual
MS. PAMELA LORENE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 N HIGH ST, MUNCIE, IN 47305-1617
(765) 215-0584
Mailing address
PO BOX 48, MUNCIE, IN 47308-0048
(765) 215-0584
(877) 610-3921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1282264
IN
1041C0700X
Clinical Social Worker
Primary
34003296A
IN
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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