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Individual

MS. CORI A. PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLADC

Contact information

Practice address
230 E 22ND ST, SUITE 4, FREMONT, NE 68025-2661
(402) 932-2248
(402) 932-3557
Mailing address
230 E 22ND ST, SUITE 4, FREMONT, NE 68025-2661
(402) 932-2248
(402) 932-3557

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1267
NE

Other

Enumeration date
01/26/2015
Last updated
01/27/2015
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