Individual
KATHERINE A PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
124 ELTON HILLS LN NW, ROCHESTER, MN 55901-3567
(507) 282-1009
Mailing address
1218 19TH AVE NE, ROCHESTER, MN 55906-4306
(507) 289-7432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4147
MN
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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