Individual
AMY LEIGH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MINNESOTA AVE, PAONIA, CO 81428-8503
(503) 949-0137
Mailing address
43225 BOWIE RD, PAONIA, CO 81428-6300
(503) 949-0137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09931681
CO
Other
Enumeration date
06/23/2010
Last updated
04/30/2025
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