Individual
PORSHA L REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY RD, PEMBROKE, NC 28372-8699
(910) 824-0364
Mailing address
1 UNIVERSITY RD, PEMBROKE, NC 28372-8699
(910) 824-0364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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