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Individual

SANDRA G PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1418 FOXHALL LN SE APT 8, ATLANTA, GA 30316-3473
(404) 381-6787
Mailing address
1418 FOXHALL LN SE APT 8, ATLANTA, GA 30316-3473
(404) 381-6787

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001340
GA

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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