Individual
DR. CANDICE FERN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
36 WESTON AVE, 36 WESTON AVE, QUINCY, MA 02170-1833
(617) 786-0137
(617) 479-4798
Mailing address
36 WESTON AVE, QUINCY, MA 02170-1833
(617) 786-0137
(617) 479-4798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4106
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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